LISA GORDENE STAFKO

INDIANAPOLIS, IN
NPI1578728143
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IN  31003912A)
Enumeration Date2008-07-23
Last Update Date2008-07-23
Business Address
Mrs. LISA GORDENE STAFKO OTR
7301 E 16TH ST
INDIANAPOLIS, IN 46219-2308
Phone number: 317-965-9377
Mailing Address
Mrs. LISA GORDENE STAFKO OTR
7301 E 16TH ST
INDIANAPOLIS, IN 46219-2308
Phone number: 317-965-9377
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