PHYLLIS IRENE KUKLA

GREENFIELD, IN
NPI1568091163
Former NamePHYLLIS IRENE PULASKI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32000680A)
Enumeration Date2020-04-06
Last Update Date2020-04-06
Business Address
PHYLLIS IRENE KUKLA COTA
1834 FIELDS BLVD
GREENFIELD, IN 46140-3029
Phone number: 317-527-5437
Mailing Address
PHYLLIS IRENE KUKLA COTA
1834 FIELDS BLVD
GREENFIELD, IN 46140-3029
Phone number: 317-527-5437
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