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Individual

MISS KARLIE ELAINE NESIUS LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR

Contact information

Practice address
7209 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2021
(317) 288-7606
(317) 288-7607
Mailing address
7209 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2021

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006333A
IN

Other

Enumeration date
05/11/2017
Last updated
02/27/2022
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