Individual
RASHEDA LAURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7746 WYCKFORD CT, INDIANAPOLIS, IN 46214-2646
(317) 710-1631
Mailing address
7746 WYCKFORD CT, INDIANAPOLIS, IN 46214-2646
(317) 710-1631
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IN
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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