Individual
CORINNE ELIZABETH KUSTRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/RD
Contact information
Practice address
5685 EDEN VILLAGE DR, INDIANAPOLIS, IN 46254-1203
(219) 789-9505
Mailing address
5685 EDEN VILLAGE DR, INDIANAPOLIS, IN 46254-1203
(219) 789-9505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
32001580A
IN
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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