Individual
MRS. BRENDA J PARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
10 E COURT ST, PAOLI, IN 47454-1321
(812) 788-1118
(888) 371-6163
Mailing address
10938 S COUNTY ROAD 150 W, ENGLISH, IN 47118-7873
(812) 788-1118
(888) 371-6163
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005499A
IN
225X00000X
Occupational Therapist
OT0001528
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21053537
—
CO
01
—
IN2091
MEDICARE PTAN IN2091
IN
Enumeration date
04/21/2006
Last updated
01/12/2016
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