Individual
KYLI LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 CHARLES ST, INDIANAPOLIS, IN 46225-1712
(317) 657-0106
Mailing address
1921 CHARLES ST, INDIANAPOLIS, IN 46225-1712
(317) 657-0106
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008062A
IN
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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