Individual
MR. JOHN REDRICK INDALECIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
4604 SAWMILL RD, COLUMBUS, OH 43220-2247
(614) 827-8700
(614) 827-8701
Mailing address
4604 SAWMILL RD, COLUMBUS, OH 43220-2247
(614) 827-8700
(614) 827-8701
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011046
OH
225XH1200X
Hand Occupational Therapist
OT011046
OH
Other
Enumeration date
09/13/2006
Last updated
01/11/2021
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