LANA WOLF WITBECK

LA PORTE, IN
NPI1174763098
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IN  31003685A)
Enumeration Date2009-03-05
Last Update Date2009-03-05
Business Address
-- LANA WOLF WITBECK OTR
367 OAK DR
LA PORTE, IN 46350-2260
Phone number: 219-716-5262
Mailing Address
-- LANA WOLF WITBECK OTR
367 OAK DR
LA PORTE, IN 46350-2260
Phone number: 219-716-5262