Individual
JOSUE ISIDORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-2923
(317) 844-4211
Mailing address
118 MEDICAL DR, CARMEL, IN 46032-2923
(317) 844-4211
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
99068633A
IN
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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