Individual
OTIS CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT-BC
Contact information
Practice address
335 N HILLSDALE DR, BLOOMINGTON, IN 47408-4225
(765) 621-9899
Mailing address
335 N HILLSDALE DR, BLOOMINGTON, IN 47408-4225
(765) 621-9899
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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