Individual
MS. MARY ELLEN TRAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8616 W 10TH ST, INDIANAPOLIS, IN 46234-2167
(317) 271-1020
(317) 273-1444
Mailing address
234 E 12TH ST, APT 207, INDIANAPOLIS, IN 46202-2686
(317) 951-8447
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002362A
IN
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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