Individual
NICOLE BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
720 N LINCOLN ST, GREENSBURG, IN 47240-1327
(812) 663-1119
Mailing address
2420 WILSON AVE, MADISON, IN 47250-2135
(812) 265-8228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004640A
IN
Other
Enumeration date
07/24/2008
Last updated
02/27/2016
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