Individual
HOWARD CO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 764-3221
Mailing address
12470 DEERVIEW DR, NOBLESVILLE, IN 46060-4667
(317) 650-1630
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004246A
IN
Other
Enumeration date
05/05/2010
Last updated
11/02/2023
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