Individual
KRYSTAL LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
166 W CARMEL DR, CARMEL, IN 46032-2526
(317) 570-9205
Mailing address
166 W CARMEL DR, CARMEL, IN 46032-2526
(317) 570-9205
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005624A
IN
Other
Enumeration date
02/18/2014
Last updated
07/23/2014
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