| Untapped - Pediatric Therapies | |
|
14194 Stacey St Carmel IN 46033-8720 | |
| (317) 753-6962 | |
| Not Available |
| Full Name | Untapped - Pediatric Therapies |
|---|---|
| Speciality | Occupational Therapist |
| Location | 14194 Stacey St, Carmel, Indiana |
| Authorized Official Name and Position | Tiffany Marie Fritz (OWNER/CEO/OCCUPATIONAL THERAPIST) |
| Authorized Official Contact | 3177536962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Untapped - Pediatric Therapies 14194 Stacey St Carmel IN 46033-8720 Ph: (317) 753-6962 | Untapped - Pediatric Therapies 14194 Stacey St Carmel IN 46033-8720 Ph: (317) 753-6962 |
| NPI Number | 1457861361 |
|---|---|
| Provider Enumeration Date | 10/05/2017 |
| Last Update Date | 10/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457861361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 31004103A (Indiana) | Primary |
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