Individual
LAURA ISAACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 E 96TH ST, SUITE B, INDIANAPOLIS, IN 46240-3716
(317) 573-4445
Mailing address
14475 SAMOA ST, FISHERS, IN 46038-5210
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31001756A
IN
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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