Berty, Larissa Raye

Berty, Larissa Raye is an individual health care provider with primary practice located at 7478 Shadeland Station Way , Indianapolis IN 46256-3925. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Berty, Larissa Raye can be contacted via phone (317) 288-7606.

Contact Information

Primary practice address
7478 Shadeland Station Way Indianapolis IN 46256-3925
Phone: (317) 288-7606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1750865333
LBN Legal business name Berty, Larissa Raye
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2018
Last updated Sep 20th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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