LISA M KRUSSOW

SCOTTSBURG, IN
NPI1669607446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32001099A)
Enumeration Date2009-05-21
Last Update Date2010-04-02
Business Address
-- LISA M KRUSSOW COTA
1350 N TODD DR
SCOTTSBURG, IN 47170-7755
Phone number: 812-414-2660
Mailing Address
-- LISA M KRUSSOW COTA
1350 N TODD DR
SCOTTSBURG, IN 47170-7755
Phone number: 812-414-2660
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