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Individual

MRS. MORGAN LEAH BACKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
6437 RUCKER RD STE D, INDIANAPOLIS, IN 46220-4868
(317) 405-9016
Mailing address
6437 RUCKER RD STE D, INDIANAPOLIS, IN 46220-4868
(317) 405-9016

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31006158A
IN

Other

Enumeration date
08/18/2016
Last updated
02/07/2020
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