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>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1174914386

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
900 ANSON ST  SALEM, IN 47167-1982 US
Tel: 812-883-4681  Fax: 812-883-8113

Contact information for business:
900 ANSON ST  SALEM, IN 47167-1982 US
Tel: 812-883-4681  Fax: 812-883-8113

Registration Information:
NPI: 1174914386
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant

Legacy codes, insurance codes and state license numbers:



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