Individual
KETMANY BRUMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
13390 ILLINOIS ST, CARMEL, IN 46032-3143
(317) 818-0526
Mailing address
14465 EQUALITY BLVD APT 1A, CARMEL, IN 46033-8480
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006934A
IN
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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