Organization
MARSH MONSTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE VAN SLYKE OTD, OTR/L (MANAGER)
(815) 278-2515
Entity
Organization
Contact information
Practice address
9783 E 116TH ST # 245, FISHERS, IN 46037-2822
(815) 278-2515
Mailing address
70 S 15TH ST, RICHMOND, IN 47374-5606
(616) 826-4883
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/13/2024
Last updated
12/27/2024
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