JERRY FROST

GREENSBURG, IN
NPI1548641228
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32000894A)
Enumeration Date2015-06-17
Last Update Date2015-06-17
Business Address
Mr. JERRY FROST COTA
950 N LAKEVIEW DR
GREENSBURG, IN 47240-3405
Phone number: 812-662-7778
Mailing Address
Mr. JERRY FROST COTA
950 N LAKEVIEW DR
GREENSBURG, IN 47240-3405
Phone number: 812-662-7778
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