Individual
PAIGE CREIGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D/OTR
Contact information
Practice address
440 EDMOND DR, DYER, IN 46311-2315
(121) 932-2141
Mailing address
440 EDMOND DR, DYER, IN 46311-1523
(121) 932-2141
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006644A
IN
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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