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1568952125
KELLY LEE PACKWOOD
MUNSTER, IN
NPI
1568952125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2018-05-18
Last Update Date
2018-05-18
Business Address
KELLY LEE PACKWOOD COTA,CEAS,CKTP
901 MACARTHUR BLVD
MUNSTER, IN 46321-2901
Phone number: 219-836-1600
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Mailing Address
KELLY LEE PACKWOOD COTA,CEAS,CKTP
901 MACARTHUR BLVD
MUNSTER, IN 46321-2901
Phone number:
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