SAMANTHA JANE CLARK-TEAGUE

FORT WAYNE, IN
NPI1396161766
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  3060-35-1455)
Enumeration Date2014-03-10
Last Update Date2014-03-10
Business Address
Ms. SAMANTHA JANE CLARK-TEAGUE O.T.A
5902 HINSDALE LN
FORT WAYNE, IN 46835-1237
Phone number: 260-494-7854
Mailing Address
Ms. SAMANTHA JANE CLARK-TEAGUE O.T.A
5902 HINSDALE LANE
FORT WAYNE, IN 46835
Phone number: 260-494-7854
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