Individual
REBECCA TERBROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4764 CHARRINGTON CIR, INDIANAPOLIS, IN 46254-9671
(317) 405-9016
(888) 654-4116
Mailing address
4764 CHARRINGTON CIR, INDIANAPOLIS, IN 46254-9671
(317) 405-9016
(888) 654-4116
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005542A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31005542A
INDIANA OCCUPATIONAL LICENSE
IN
Enumeration date
09/03/2014
Last updated
09/03/2014
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