Individual
MR. DAVID I PROCTOR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2108 E BOULEVARD, KOKOMO, IN 46902-2401
(765) 416-8480
Mailing address
PO BOX 411169, BOSTON, MA 02241-2330
(888) 883-0412
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005755A
IN
Other
Enumeration date
12/13/2016
Last updated
08/31/2022
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