Individual
ETHAN BREMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-2923
(317) 819-8145
Mailing address
118 MEDICAL DR, CARMEL, IN 46032-2923
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
99068004A
IN
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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