Individual
DESNA RATCLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OT
Contact information
Practice address
395 N LAKESIDE DR, MADISON, IN 47250-7762
(812) 701-4666
Mailing address
395 N LAKESIDE DR, MADISON, IN 47250-7762
(812) 701-4666
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000054A
IN
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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