Heidi Altom

Individual provider Active NPI Occupational Therapist · Indianapolis, IN

NPI 1770600751 · NPPES record last updated Nov 16, 2007

Key facts

NPI
1770600751
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
31000069A (IN)
Practice address
4740 Kingsway Dr
Indianapolis, IN 46205-1521
Phone
(317) 466-1000
Fax
(317) 466-2000
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
31000069AINMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31000069A IN Yes

Addresses

Primary practice location

4740 Kingsway Dr
Indianapolis, IN 46205-1521

Mailing address

321 Lesley Ave
Indianapolis, IN 46219-5807
Phone (317) 466-1000

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Occupational Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.