Individual
LYNDA C DEITCHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4306 N PARK AVE, INDIANAPOLIS, IN 46205-1833
(317) 971-9770
Mailing address
4306 N PARK AVE, INDIANAPOLIS, IN 46205-1833
(317) 971-9770
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003574A
IN
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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