Individual
MRS. BRENDA J GIBBS GOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10515 HERMOSA DR, INDIANAPOLIS, IN 46236-8162
(317) 823-9935
Mailing address
10515 HERMOSA DR, INDIANAPOLIS, IN 46236-8162
(317) 823-9935
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002148A
IN
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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