Individual
MRS. ELIZABETH KATHLEEN HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
6588 SALEM DR, FISHERS, IN 46038-4729
(317) 850-0188
Mailing address
6588 SALEM DR, FISHERS, IN 46038-4729
(317) 850-0188
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001925A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200603500
FIRST STEPS RENDERING
IN
01
—
200621480
FIRST STEPS RENDERING NUMBER
IN
01
—
200703180
FIRST STEPS GROUP NUMBER
IN
Enumeration date
05/24/2007
Last updated
09/23/2008
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