Individual
CANDACE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6067 DECATUR BLVD, INDIANAPOLIS, IN 46241-9606
(317) 856-5201
(317) 856-2333
Mailing address
3621 COLISEUM AVE, INDIANAPOLIS, IN 46205-3616
(317) 856-5201
(317) 856-2333
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003894A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31003894A
OCCUPATIONAL THERAPIST LICENSE
IN
Enumeration date
03/04/2009
Last updated
03/04/2009
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