Individual
MARTIN CHARLES FALCIGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
6900 GRAY RD, INDIANAPOLIS, IN 46237-3209
(765) 472-7417
Mailing address
375 E MAIN ST, PERU, IN 46970-2522
(765) 472-7417
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
32000755A
IN
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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