ROLANDO ALICEA

PORTAGE, IN
NPI1568652170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32001127A)
Enumeration Date2007-07-30
Last Update Date2007-07-30
Business Address
-- ROLANDO ALICEA COTA
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
Mailing Address
-- ROLANDO ALICEA COTA
1500 STATE ST
HOBART, IN 46342
Phone number: 219-942-9571