COURTNEY R KAVANAUGH

SOUTH BEND, IN
NPI1780115691
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IN  31006277)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: IN  31006277A)
Enumeration Date2017-03-22
Last Update Date2022-07-21
Business Address
Mrs. COURTNEY R KAVANAUGH OTR
17390 DUGDALE DR
SOUTH BEND, IN 46635-1512
Phone number: 574-400-2169
Mailing Address
Mrs. COURTNEY R KAVANAUGH OTR
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 885-324-0885