MEDICARE: MARGARET 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
1	225X00000X	Occupational Therapist	31005036A	IN

General Provider Information

NPI Number	:	1154524213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET LADYMAN

Provider Business Mailing Address
First Line	:	1701 LIBRARY BLVD STE A
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46142-1567
Country	:	US
Telephone Number	:	317-881-9965
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 LIBRARY BLVD STE A
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46142-1567
Country	:	US
Telephone Number	:	317-881-9965
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2007
Last Update Date	:	04/07/2017

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