Individual
STACY ZOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR
Contact information
Practice address
7242 WHITEHALL DR, INDIANAPOLIS, IN 46256-2273
(317) 288-7606
Mailing address
2401 E NORTHGATE ST, INDIANAPOLIS, IN 46220-2887
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004567A
IN
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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