Individual
JUAN ANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
344 S RITTER AVE, INDIANAPOLIS, IN 46219-7142
(317) 602-3847
Mailing address
810 OAK BLVD, GREENFIELD, IN 46140-1249
(317) 602-3847
(317) 602-3849
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001588A
IN
Other
Enumeration date
07/22/2008
Last updated
06/24/2010
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