Individual
KAILAN ELIZABETH HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
580 E CARMEL DR STE 400, CARMEL, IN 46032-3316
(317) 564-8332
Mailing address
1556 WOODSON DR APT 141, INDIANAPOLIS, IN 46227-1674
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007147A
IN
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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