KAREN DERICKSON

FORT WAYNE, IN
NPI1730336462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32001472A)
Enumeration Date2008-08-25
Last Update Date2008-08-25
Business Address
-- KAREN DERICKSON
6006 BRANDY CHASE CV
FORT WAYNE, IN 46815-7601
Phone number: 260-486-3001
Mailing Address
-- KAREN DERICKSON
3113 STINSON DR
FORT WAYNE, IN 46816-2130
Phone number:
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