Most Relevant Information
Provider Data
| NPI Number: | 1003399692 |
| Provider Name: | LEANN VANDEMAN OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/11/2018 |
| Last Updated: | 07/03/2024 |
Provider Practice Location
2333 POST DR
INDIANAPOLIS
IN
462191979
Practice Location Phone/Fax
| Phone: | 3178907700 |
| Fax: | 3178904400 |
Provider Mailing Location
790 REMINGTON BLVD
BOLINGBROOK
IL
604404909
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |