Individual
LYDIA GRAY HUGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11570 E 126TH ST, FISHERS, IN 46037-9592
(317) 759-0166
Mailing address
8201 BEECH KNLS, INDIANAPOLIS, IN 46256-2144
(317) 847-4497
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007553A
IN
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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