LARISSA RAYE BERTY

INDIANAPOLIS, IN
NPI1750865333
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2018-09-20
Last Update Date2018-09-20
Business Address
LARISSA RAYE BERTY
7478 SHADELAND STATION WAY
INDIANAPOLIS, IN 46256-3925
Phone number: 317-288-7606
Mailing Address
LARISSA RAYE BERTY
7478 SHADELAND STATION WAY
INDIANAPOLIS, IN 46256-3925
Phone number: 317-288-7606