TADESA ALLEN

SOUTH BEND, IN
NPI1649541558
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057003476)
Enumeration Date2012-01-24
Last Update Date2019-11-06
Business Address
Ms. TADESA ALLEN COTA
1006 N BROOKFIELD ST
SOUTH BEND, IN 46628-2604
Phone number: 574-300-5645
Mailing Address
Ms. TADESA ALLEN COTA
53027 JUDAY CREEK BLVD
GRANGER, IN 46530-9463
Phone number: 574-300-5645