TRACI LAUDER

PORTAGE, IN
NPI1265631220
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06002130A)
Enumeration Date2007-07-11
Last Update Date2007-07-11
Business Address
-- TRACI LAUDER
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
Mailing Address
-- TRACI LAUDER
539 S 300 E
KOUTS, IN 46347
Phone number: 219-462-8149
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