Individual
MARY DEPERSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 843-4590
Mailing address
1330 E MINNESOTA ST, INDIANAPOLIS, IN 46203-2837
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004995A
IN
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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