Individual
CALEB WADE HUNTINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 N RILEY HWY, SHELBYVILLE, IN 46176-9465
(317) 395-3182
Mailing address
2033 S US HIGHWAY 421, VERSAILLES, IN 47042-8303
(812) 621-2868
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003428A
IN
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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