Individual
JULIE CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6344 S STATE ROAD 67, PENDLETON, IN 46064-8900
(317) 774-6956
Mailing address
6344 S STATE ROAD 67, PENDLETON, IN 46064-8900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003235A
IN
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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