Individual
MAKAELA SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 882-1783
Mailing address
234 CALLE DEL PRADO, EVANSVILLE, IN 47712-2733
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006217A
IN
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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