MEDICARE: ARIN ANDREWS OTR

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	31004933A	IN

General Provider Information

NPI Number	:	1164828349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIN ANDREWS OTR

Provider Business Mailing Address
First Line	:	2188 WILLIAMS GLEN BLVD
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-1180
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6437 RUCKER RD STE D
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-4868
Country	:	US
Telephone Number	:	317-405-9016
Fax Number	:	888-654-4116

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

Provider Enumeration Date	:	11/14/2014
Last Update Date	:	11/14/2014

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