ELIAS GATHENYA

SOUTH BEND, IN
NPI1669935300
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing
(Licence: IN  32002567A)
Enumeration Date2019-04-10
Last Update Date2019-04-10
Business Address
ELIAS GATHENYA
17475 DUGDALE DR
SOUTH BEND, IN 46635-1545
Phone number: 574-247-7500
Mailing Address
ELIAS GATHENYA
15828 CLARENDON HILLS DR
GRANGER, IN 46530-7877
Phone number: 574-612-8394