LEWIS GLENN CARVER

DEMOTTE, IN
NPI1063688828
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32001364A)
Enumeration Date2008-05-01
Last Update Date2008-05-01
Business Address
Mr. LEWIS GLENN CARVER COTA
614 AZALEA ST SE
DEMOTTE, IN 46310-8744
Phone number: 219-987-2894
Mailing Address
Mr. LEWIS GLENN CARVER COTA
614 AZALEA ST SE
DEMOTTE, IN 46310-8744
Phone number: 219-987-2894
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