Individual
KRISTA ROUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
729 W 35TH ST, MARION, IN 46953-4215
(765) 674-3371
Mailing address
729 W 35TH ST, MARION, IN 46953-4215
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
99056364A
IN
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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