Individual
TARA J PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7478 SHADELAND STATION WAY, INDIANAPOLIS, IN 46256-3925
(317) 288-7606
(317) 288-7607
Mailing address
8112 GLENWILLOW LN, UNIT 206, INDIANAPOLIS, IN 46278-2254
(914) 714-1890
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31005537A
IN
Other
Enumeration date
09/05/2012
Last updated
11/15/2016
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