Individual
ANGELA SUZANNE THARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
5400 GARDENIA CT, WEST LAFAYETTE, IN 47906-9079
(765) 430-3789
Mailing address
5400 GARDENIA CT, WEST LAFAYETTE, IN 47906-9079
(765) 430-3789
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007720A
IN
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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