Individual
MICHELE KOTTLOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR
Contact information
Practice address
3380 E MAIN ST, DANVILLE, IN 46122-9089
(131) 771-8008
(131) 771-8009
Mailing address
10882 FAIRWAY RIDGE LN, FISHERS, IN 46037-9128
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000761A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31000761A
OT PROFESSIONAL LICENSE
IN
Enumeration date
03/23/2007
Last updated
07/08/2007
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