CAROL J EARL

PORTAGE, IN
NPI1609073873
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32000220A)
Enumeration Date2007-06-29
Last Update Date2007-07-08
Business Address
-- CAROL J EARL COTA
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
Mailing Address
-- CAROL J EARL COTA
4408 KINGSDALE DR
VALPARAISO, IN 46383-1421
Phone number: 219-462-0755