Individual
STACI LEDET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10224 NOBLE CT, INDIANAPOLIS, IN 46234-7717
(260) 243-1198
Mailing address
10224 NOBLE CT, INDIANAPOLIS, IN 46234-7717
(260) 243-1198
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001486A
IN
Other
Enumeration date
08/19/2008
Last updated
01/17/2020
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