THERESA CLARK

DYER, IN
NPI1659520799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32001147a)
Enumeration Date2008-09-12
Last Update Date2008-09-12
Business Address
-- THERESA CLARK c.o.t.a.
2300 GREAT LAKES DR
DYER, IN 46311-1917
Phone number: 219-322-3555
Mailing Address
-- THERESA CLARK c.o.t.a.
612 215TH ST
DYER, IN 46311-1512
Phone number: 219-864-8826
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