Individual
MICAH BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4134 CLAIRE DR APT 104, INDIANAPOLIS, IN 46240-1595
(317) 362-4809
Mailing address
4134 CLAIRE DR APT 104, INDIANAPOLIS, IN 46240-1595
(317) 362-4809
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006325A
IN
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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