Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 3200424A | IN |
NPI | 1003203480 |
---|---|
Provider Name | Darlene A Narantic |
First Address | Dyer, IN 46311 |
Second Address | Louisville, KY 40299-6395 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2015 |
Last Update Date | 23/04/2015 |