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1194318113
TERI DEYOUNG
CROWN POINT, IN
NPI
1194318113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XE0001X Occupational Therapist, Environmental Modification
(Licence: IN 31001553A)
Enumeration Date
2021-02-19
Last Update Date
2021-02-22
Business Address
TERI DEYOUNG OTR, ECHM
13318 CHASE ST
CROWN POINT, IN 46307-9763
Phone number: 219-713-2198
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Mailing Address
TERI DEYOUNG OTR, ECHM
13318 CHASE ST
CROWN POINT, IN 46307-9763
Phone number: 219-713-2198
Copy
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