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NPI Code Detail

MEDICARE: ERICA LADYMAN

MEDICARE: ERICA LADYMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist31006695AIN

General Provider Information

NPI Number : 1366055139
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA LADYMAN
Provider Business Mailing Address
First Line : 1135 W WILDFLOWER CT
Second Line :
City : MOORESVILLE
State : IN
Zip : 46158-8777
Country : US
Telephone Number : 317-650-4622
Fax Number :
Provider Business Practice Location Address
First Line : 302 N JOHNSON RD
Second Line :
City : MOORESVILLE
State : IN
Zip : 46158-5504
Country : US
Telephone Number : 317-834-7425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2020
Last Update Date : 08/31/2020

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Directions to “ ERICA LADYMAN ” Practice Location

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