SARA JO ERVIN

FORT WAYNE, IN
NPI1780988170
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32001419A)
Enumeration Date2010-12-29
Last Update Date2010-12-29
Business Address
Mrs. SARA JO ERVIN COTA
2703 WILLOW OAKS DR
FORT WAYNE, IN 46809-1844
Phone number: 260-747-6533
Mailing Address
Mrs. SARA JO ERVIN COTA
2703 WILLOW OAKS DR
FORT WAYNE, IN 46809-1844
Phone number: 260-747-6533
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