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Individual

SAMANTHA GIBSON KOELMEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR, OTD, MS

Contact information

Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 843-4590
(317) 200-3966
Mailing address
6867 FLICK DR, INDIANAPOLIS, IN 46237-9180
(260) 438-0386

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006914A
IN

Other

Enumeration date
07/11/2022
Last updated
07/11/2022
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