Individual
MR. PRASHITH SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1119 KEYSTONE WAY, CARMEL, IN 46032-3355
(317) 688-8232
Mailing address
1286 N MORGANTOWN RD, GREENWOOD, IN 46142-8914
(317) 698-6921
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
31001931A
IN
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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