Individual
KARRIE CANARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1501 HARTFORD ST, LAFAYETTE, IN 47904-2134
(765) 423-6336
Mailing address
1501 HARTFORD ST, LAFAYETTE, IN 47904-2134
(765) 423-6336
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31002031A
IN
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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