Individual
MR. DENNIS ALAN MCMASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
4021 STONERIDGE DR, BROWNSBURG, IN 46112-8908
(317) 292-5948
Mailing address
4021 STONERIDGE DR, BROWNSBURG, IN 46112-8908
(317) 292-5948
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002630A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000720860
ANTHEM PROVIDER NUMBER
IN
05
—
201025210
—
IN
Enumeration date
02/23/2010
Last updated
10/22/2012
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