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1942718960
DEIDRA MAIFERT
CARMEL, IN
NPI
1942718960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31005197A)
Enumeration Date
2018-01-11
Last Update Date
2018-01-11
Business Address
DEIDRA MAIFERT MS OTR/L
118 MEDICAL DR
CARMEL, IN 46032-2923
Phone number: 317-573-1037
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Mailing Address
DEIDRA MAIFERT MS OTR/L
7108 MOGUL WAY
INDIANAPOLIS, IN 46259-7766
Phone number: 317-524-8682
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