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NPI Code Detail

MEDICARE: SUZANNE PRITCHARD MS, OTR, CDRS

MEDICARE: SUZANNE PRITCHARD MS, OTR, CDRS
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 Therapist31003810AIN

General Provider Information

NPI Number : 1649396128
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE PRITCHARD MS, OTR, CDRS
Provider Business Mailing Address
First Line : 707 WOODRUFF PLACE MIDDLE DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46201-1931
Country : US
Telephone Number : 317-652-1471
Fax Number :
Provider Business Practice Location Address
First Line : 4740 KINGSWAY DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-1521
Country : US
Telephone Number : 317-466-1000
Fax Number : 317-466-2000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 02/19/2025

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