Individual
TUSHAR PRAKASH LOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5080 N STATE ROAD 135 STE G, BARGERSVILLE, IN 46106-8931
(317) 403-9670
(317) 893-2675
Mailing address
3038 ALDWYCH CT, GREENWOOD, IN 46143-6942
(317) 403-9670
(317) 893-2675
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001718A
IN
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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