Individual
DEANA BOTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8501 HARCOURT RD, INDIANAPOLIS, IN 46260-2046
(317) 872-5101
(317) 808-8803
Mailing address
8501 HARCOURT RD, INDIANAPOLIS, IN 46260-2046
(317) 872-5101
(317) 808-8803
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005936A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201317910
—
IN
Enumeration date
07/28/2015
Last updated
03/27/2019
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