Healthcare Provider Details

I. General information

NPI: 1518884451
Provider Name (Legal Business Name): ANNA SODREL
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 DUNN ST
FRANKLIN IN
46131-2220
US

IV. Provider business mailing address

702 DUNN ST
FRANKLIN IN
46131-2220
US

V. Phone/Fax

Practice location:
  • Phone: 317-610-7799
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number31009102A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: