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Individual

DONALD TEVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
5980 W 71ST ST, SUITE 201, INDIANAPOLIS, IN 46278-2711
(317) 388-0800
Mailing address
7516 BOWLANDER WAY, FORT WAYNE, IN 46835-9147
(917) 251-3685

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004513A
IN
225X00000X
Occupational Therapist
OC009996
PA

Other

Enumeration date
05/09/2007
Last updated
10/03/2008
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