Individual
KELSEY HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
13102 N LENA RD, BRAZIL, IN 47834-7066
(812) 251-7848
Mailing address
13102 N LENA RD, BRAZIL, IN 47834-7066
(812) 251-7848
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005498A
IN
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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