Individual
JULIE ANNE INDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. O.T.R./L
Contact information
Practice address
2530 N MONROE ST, DECATUR, IL 62526-3249
(217) 875-0020
(217) 872-1734
Mailing address
2530 N MONROE ST, DECATUR, IL 62526-3249
(217) 875-0020
(217) 872-1734
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
056003047
IL
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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