Individual
LYDIA LEE JUSTINE DELAMARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1353 E MAIN ST, BROWNSBURG, IN 46112-1433
(317) 520-4748
Mailing address
1353 E MAIN ST, BROWNSBURG, IN 46112-1433
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007789A
IN
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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