Individual
BAILY LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 843-4590
Mailing address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 843-4590
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003252A
IN
Other
Enumeration date
06/03/2021
Last updated
11/05/2021
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