Individual
AARON GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
7295 W LONGWOOD RD, CONNERSVILLE, IN 47331-9503
(765) 265-1920
Mailing address
7295 W LONGWOOD RD, CONNERSVILLE, IN 47331-9503
(765) 265-1920
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002067A
IN
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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