Individual
MATTHEW DAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1940 W 51ST ST, INDIANAPOLIS, IN 46228-2307
(317) 964-9596
Mailing address
1940 W 51ST ST, INDIANAPOLIS, IN 46228-2307
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005392A
IN
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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