Individual
KAYLA HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1009F BEXLEY DRIVE, GREENWOOD, IN 46143
(812) 968-4482
(765) 644-0510
Mailing address
1009F BEXLEY DRIVE, GREENWOOD, IN 46143
(812) 968-4482
(765) 644-0510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005700A
IN
Other
Enumeration date
07/02/2014
Last updated
04/06/2017
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