Individual
SHELBY GRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-1000
Mailing address
131 ROSE LN, INDIANAPOLIS, IN 46227-2577
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31005838A
IN
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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