EDGAR D PRATER

MERRILLVILLE, IN
NPI1083753099
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32000255A)
Enumeration Date2007-02-06
Last Update Date2007-07-08
Business Address
-- EDGAR D PRATER
501 W 84TH DR STE 1
MERRILLVILLE, IN 46410-7013
Phone number: 219-756-4695
Mailing Address
-- EDGAR D PRATER
501 W 84TH DRIVE, SUITE A
MERRILLVILLE, IN 46410
Phone number: 219-756-4695