Organization
THERACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC ROBERT BRYANT COTA (OCCUPATIONAL THERAPY ASSISTANT)
(317) 757-9384
Entity
Organization
Contact information
Practice address
5356 HOLLY SPRINGS CT, INDIANAPOLIS, IN 46254
(317) 757-9384
Mailing address
5356 HOLLY SPRINGS CT, INDIANAPOLIS, IN 46254-4284
(317) 757-9384
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
32001792A
IN
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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