Individual
MISS TATIANNA SLEDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR
Contact information
Practice address
200 MEADOW LAKE DR, MOORESVILLE, IN 46158-1837
(317) 834-1791
Mailing address
1038 SPRINGWATER CIR, GREENWOOD, IN 46143-7797
(317) 345-7771
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004245A
IN
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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