Organization · NPI-2

123ot, LLP

Occupational Therapist · Indianapolis, IN

NPI number1902438856
StatusActive
Last updated in NPPESFeb 9, 2020

Details

NPI
1902438856
Entity type
Organization (NPI-2)
Legal business name
123ot, LLP
Organization subpart
No
Enumeration date
Feb 9, 2020
Certification date
Feb 9, 2020
Last updated
Feb 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist––Yes
224Z00000X Occupational Therapy Assistant––

Practice location

10335 Corydon Ct
Indianapolis, IN 46239-9781

Phone 317-437-0848

Mailing address

10335 Corydon Ct
Indianapolis, IN 46239-9781

Authorized official

Staci Ledet
Cota
2602431198

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