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Individual

REBECCA FINLEY LASSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6060 N COLLEGE AVE, INDIANAPOLIS, IN 46220-1907
(317) 329-1000
(317) 329-1001
Mailing address
6060 N COLLEGE AVE, INDIANAPOLIS, IN 46220-1907
(317) 329-1000
(317) 329-1001

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
008535
OH
225X00000X
Occupational Therapist
Primary
31005695A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2187155
OH
Enumeration date
02/07/2014
Last updated
11/19/2014
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