Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 31001819A | IN |
NPI | 1003068610 |
---|---|
Provider Name | James Krashin |
First Address | Carmel, IN 46032-2923 |
Second Address | Carmel, IN 46032-2923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2008 |
Last Update Date | 14/10/2008 |