Individual
SARA LYNN DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5851 S 800 E, LAFAYETTE, IN 47905-9360
(812) 664-3313
Mailing address
5851 S 800 E, LAFAYETTE, IN 47905-9360
(812) 664-3313
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003832A
IN
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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