Individual
BRENDA K SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 E 42ND ST, INDIANAPOLIS, IN 46205-2004
(317) 232-0882
Mailing address
102 E NEW YORK ST, FORTVILLE, IN 46040-1072
(812) 325-7599
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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