Individual
ERIC M LAUTERBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 573-1037
Mailing address
202 SHAWNEE DR, BEDFORD, IN 47421-5228
(765) 432-7606
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003580A
IN
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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