Individual
RILEY GUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
4550 CENTRAL AVE, INDIANAPOLIS, IN 46205-1825
(317) 260-7880
Mailing address
14194 STACEY ST, CARMEL, IN 46033-8720
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
520035
IN
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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