LATASHA LEWIS

FORT WAYNE, IN
NPI1700131398
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32002200a)
Enumeration Date2012-07-19
Last Update Date2012-07-19
Business Address
-- LATASHA LEWIS
2837 E DUPONT RD
FORT WAYNE, IN 46825-1668
Phone number: 260-497-0328
Mailing Address
-- LATASHA LEWIS
2837 E DUPONT RD
FORT WAYNE, IN 46825-1668
Phone number:
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