Individual
PAOLA KVASHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8821 EL RICO DR, INDIANAPOLIS, IN 46240-2022
(317) 364-5025
Mailing address
8821 EL RICO DR, INDIANAPOLIS, IN 46240-2022
(317) 364-5025
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005353A
IN
Other
Enumeration date
06/05/2013
Last updated
01/09/2019
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