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Individual

AUSTIN LESSENTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSOT

Contact information

Practice address
251 W 84TH DR, MERRILLVILLE, IN 46410-6243
(855) 324-0885
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
481171
NATIONAL BOARD CERTIFICATION IN OCCUPATIONAL THERAPY
Enumeration date
10/06/2022
Last updated
10/06/2022
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