Individual
TERI RAE OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSLS CERT AVED
Contact information
Practice address
9192 WALDEMAR RD, INDIANAPOLIS, IN 46268-1131
(317) 471-8560
(317) 471-8627
Mailing address
9192 WALDEMAR RD, INDIANAPOLIS, IN 46268-1131
(317) 471-8560
(317) 471-8627
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1529181
IN
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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