Individual
WINTANA TEFFERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 S MILFORD DR, FRANKLIN, IN 46131-9337
(317) 736-4665
Mailing address
4911 BLUE MARLIN WAY, INDIANAPOLIS, IN 46239-8017
(585) 752-9919
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007248A
IN
Other
Enumeration date
11/15/2020
Last updated
11/15/2020
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