Individual
SHERRI BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5005 E STOP 11 RD, INDIANAPOLIS, IN 46237-9447
(317) 865-1450
Mailing address
4925 PALOMINO TRL, INDIANAPOLIS, IN 46239-9551
(317) 862-8695
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002422A
IN
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31002422A
LICENSE#
IN
Enumeration date
11/01/2006
Last updated
06/16/2025
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