Individual
ANNALISE SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1353 E MAIN ST, BROWNSBURG, IN 46112-1433
(317) 294-5242
Mailing address
7454 TIMBERLANE PL, FISHERS, IN 46038-2186
(765) 720-3029
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005839A
IN
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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