| NPI | 1023283496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENA RAE TACKETT Occupational Therapist 317-429-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31003880A) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |