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Individual

MACHELLE ELIZABETH DUKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
8501 HARCOURT RD, INDIANAPOLIS, IN 46260
(317) 875-9105
(317) 808-8802
Mailing address
8501 HARCOURT RD, INDIANAPOLIS, IN 46260
(317) 875-9105
(317) 875-8638

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000300A
IN
225XH1200X
Hand Occupational Therapist
31000300A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000179535
ANTHEM HEALTH PLAN
01
062110015
MEDICARE PTAN
IN
05
100196280
IN
Enumeration date
10/03/2006
Last updated
04/01/2024
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