SHARON LEE QUACO

GRANGER, IN
NPI1386828457
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IN  31002026A)
Enumeration Date2007-12-24
Last Update Date2007-12-24
Business Address
-- SHARON LEE QUACO OT
430 WEST CLEVELAND ROAD APT.B23
GRANGER, IN 46530
Phone number: 574-243-9640
Mailing Address
-- SHARON LEE QUACO OT
22242 ROOSEVELT RD
SOUTH BEND, IN 46614-9261
Phone number: 574-299-0403
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