Most Relevant Information
Provider Data
| NPI Number: | 1003433632 |
| Provider Name: | MARISA KITT OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 31007039A |
Most Important Dates
| Enumeration Date: | 06/30/2020 |
| Last Updated: | 06/30/2020 |
Provider Practice Location
6825 MADISON AVE STE A
INDIANAPOLIS
IN
462275093
Practice Location Phone/Fax
| Phone: | 3178518419 |
| Fax: | 3178518499 |
Provider Mailing Location
6825 MADISON AVE STE A
INDIANAPOLIS
IN
462275093
Provider Mailing Phone/Fax
| Phone: | 3178518419 |
| Fax: | 3178518499 |