Individual
MS. MICHELLE ANN EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4895 PINE RIDGE DR, COLUMBUS, IN 47201-2569
(812) 342-3098
(812) 342-3288
Mailing address
4895 PINE RIDGE DR, COLUMBUS, IN 47201-2569
(812) 342-3098
(812) 342-3288
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001810A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32001810A
COTA LICENSE
IN
Enumeration date
03/18/2010
Last updated
03/18/2010
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