Provider Demographics
NPI:1740455369
Name:FERRETTIE, ABIGAIL REBECCA (OT)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:REBECCA
Last Name:FERRETTIE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13652 SPRINGMILL BLVD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-9218
Mailing Address - Country:US
Mailing Address - Phone:317-663-0669
Mailing Address - Fax:
Practice Address - Street 1:7737 DIXON CT
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46062-7387
Practice Address - Country:US
Practice Address - Phone:317-753-0930
Practice Address - Fax:317-773-9583
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2009-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31003796A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist