Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 31003397A | IN |
NPI | 1023147485 |
---|---|
Provider Name | Mrs. Heather Renee Aaron |
First Address | Greenwood, IN 46142-9191 |
Second Address | Indianapolis, IN 46254-5476 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2007 |
Last Update Date | 08/07/2007 |