Individual
MARY CAROL CALLOWAY FOLLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5502 N. KENWOOD AVE., INDIANAPOLIS, IN 46208
(317) 259-8295
Mailing address
5502 N. KENWOOD AVE., INDIANAPOLIS, IN 46208
(317) 259-8295
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003475A
IN
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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