Individual
MRS. GRACE BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2603 DOE MEADOW DR, ANDERSON, IN 46011-9605
(765) 623-5556
Mailing address
LIFESPAN THERAPY, 118 MEDICAL DRIVE, CARMEL, IN 46032
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005836A
IN
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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