Ryan Baca, | |
2010 N Capitol Ave, Indianapolis, IN 46202-1222 | |
(317) 924-5821 | |
Not Available |
Full Name | Ryan Baca |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 2010 N Capitol Ave, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548744915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 31006279A (Indiana) | Primary |
Provider Name | Anew Therapy & Wellness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225792534 PECOS PAC ID: 8123415312 Enrollment ID: O20220418000863 |
Mailing Address | Practice Location Address |
---|---|
Ryan Baca, 1002 Burgess Hill Pass, Westfield, IN 46074-5882 Ph: (630) 531-4880 | Ryan Baca, 2010 N Capitol Ave, Indianapolis, IN 46202-1222 Ph: (317) 924-5821 |
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Julia Marie Murray, MS, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6437 Rucker Rd, Suite D, Indianapolis, IN 46220 Phone: 317-405-4016 Fax: 888-654-4116 | |
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