Individual
MRS. LAURIE BURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8116 CHRISTOPHER CT, AVON, IN 46123-8765
(317) 839-0555
Mailing address
8116 CHRISTOPHER CT, AVON, IN 46123-8765
(317) 839-0555
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001107A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200175630A
—
IN
Enumeration date
11/17/2010
Last updated
11/17/2010
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