Individual
ABBY SITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 886-4677
Mailing address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001340A
IN
Other
Enumeration date
07/04/2012
Last updated
07/04/2012
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