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1588378749
TIA SIMON
FORT WAYNE, IN
NPI
1588378749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IA 116976)
Enumeration Date
2023-01-11
Last Update Date
2023-01-11
Business Address
TIA SIMON
1400 MEDICAL PARK DR
FORT WAYNE, IN 46825-5832
Phone number: 260-484-1558
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Mailing Address
TIA SIMON
117 PARK AVE S
ELDRIDGE, IA 52748-9661
Phone number: 419-420-5898
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