Individual
STEPHANIE PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4519 E 82ND ST, INDIANAPOLIS, IN 46250-4241
(317) 849-2244
Mailing address
3915 BRESSINGHAM DR, INDIANAPOLIS, IN 46235-3557
(317) 513-5586
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
08/29/2023
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