Healthcare Provider Details

I. General information

NPI: 1861101669
Provider Name (Legal Business Name): HLM OCCUPATIONAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2022
Last Update Date: 11/21/2022
Certification Date: 11/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5009 W UNIVERSITY AVE
MUNCIE IN
47304-3459
US

IV. Provider business mailing address

5009 W UNIVERSITY AVE
MUNCIE IN
47304-3459
US

V. Phone/Fax

Practice location:
  • Phone: 765-465-9042
  • Fax:
Mailing address:
  • Phone: 765-465-9042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: HANNAH MARSH
Title or Position: OWNER
Credential:
Phone: 765-465-9042