VICTORIA JEAN MABANTA

INDIANAPOLIS, IN
NPI1265596241
Former NameVICTORIA JEAN DELANEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: IN  31002307A)
Enumeration Date2006-12-21
Last Update Date2007-07-09
Business Address
-- VICTORIA JEAN MABANTA OT
6011 E HANNA AVE STE M
INDIANAPOLIS, IN 46203-7115
Phone number: 317-787-3375
Mailing Address
-- VICTORIA JEAN MABANTA OT
1207 MORNINGSIDE DR
LEBANON, IN 46052-1963
Phone number: 765-482-6997