Individual
MELISSA BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-2923
(317) 573-1037
(866) 785-4924
Mailing address
11935 GLEN SCOTT DR, INDIANAPOLIS, IN 46236-9313
(317) 658-5368
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002180A
IN
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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