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Individual

MRS. JULIE MATLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3015 E EDGEWOOD AVE, INDIANAPOLIS, IN 46227-4776
(317) 908-2714
(317) 787-1959
Mailing address
3015 E EDGEWOOD AVE, INDIANAPOLIS, IN 46227-4776
(317) 908-2714
(317) 787-1959

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003054A
IN

Other

Enumeration date
01/23/2007
Last updated
03/10/2008
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