Individual
MIRANDA CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7478 SHADELAND STATION WAY, INDIANAPOLIS, IN 46256-3925
(317) 288-7606
Mailing address
7478 SHADELAND STATION WAY, INDIANAPOLIS, IN 46256-3925
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-23-262696
IN
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/19/2024
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