Organization
ROOTED OCCUPATIONAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE WIETHOLTER MSOTR (MEMBER/OWNER)
(574) 312-4005
Entity
Organization
Contact information
Practice address
11463 MEADOWLARK CIR, FISHERS, IN 46038-4609
(574) 312-4005
Mailing address
11463 MEADOWLARK CIR, FISHERS, IN 46038-4609
(574) 312-4005
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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