Individual
LUCIANA PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5980 W 71ST ST STE 102, INDIANAPOLIS, IN 46278-2711
(317) 388-0800
(317) 388-0805
Mailing address
5980 W 71ST ST STE 102, INDIANAPOLIS, IN 46278-2711
(317) 388-0800
(317) 388-0805
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
056007445
IL
225X00000X
Occupational Therapist
Primary
056.007445
IL
Other
Enumeration date
12/13/2007
Last updated
04/16/2022
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