Individual
DANA BOOTS DENISSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
200 S WALNUT ST, 2A, MUNCIE, IN 47305-2833
(317) 999-5134
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005378A
IN
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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