Individual
MS. SANDRA L NUSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 WATERFALL AVE, DANVILLE, IN 46122-2521
(317) 340-0106
Mailing address
3020 WATERFALL AVE, DANVILLE, IN 46122-2521
(317) 340-0106
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IN
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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