Adrienne Bland

Individual provider Active NPI Occupational Therapy Assistant · Merrillville, IN

NPI 1831930353 · NPPES record last updated Jun 6, 2024

Key facts

NPI
1831930353
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
32003809A (IN)
Practice address
1359 W 90TH Ave Apt 104
Merrillville, IN 46410-6750
Phone
(708) 573-8081
NPI assigned
Jun 6, 2024
Sex
Female
Sole proprietor
Yes

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
32003809AINMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32003809A IN Yes

Addresses

Primary practice location

1359 W 90TH Ave Apt 104
Merrillville, IN 46410-6750

Mailing address

1359 W 90TH Ave Apt 104
Merrillville, IN 46410-6750
Phone (708) 573-8081

Other providers in Merrillville, IN

All providers in Merrillville, IN · Occupational Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.