Most Relevant Information
Provider Data
NPI Number: | 1003370925 |
Provider Name: | MARVELLA F SELLERS |
Entity Type: | Individual |
Taxonomy Code: | 222Q00000X |
Specialty: | Developmental Therapist |
License Number: |
Most Important Dates
Enumeration Date: | 01/24/2019 |
Last Updated: | 01/24/2019 |
Provider Practice Location
1200 E 42ND ST
INDIANAPOLIS
IN
462052004
Practice Location Phone/Fax
Phone: | 3172320882 |
Fax: |
Provider Mailing Location
1200 E 42ND ST
INDIANAPOLIS
IN
462052004
Provider Mailing Phone/Fax
Phone: | |
Fax: |