Individual
MISS MARY ALICE KATHLEEN TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
6239 S EAST ST STE A, INDIANAPOLIS, IN 46227-2088
(317) 791-9031
Mailing address
2228 DUNECREST RD APT 226, INDIANAPOLIS, IN 46217-2211
(859) 358-5286
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006230A
IN
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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