AMBER DAWN SMITH

SOUTH BEND, IN
NPI1861875890
Former NameAMBER DAWN BURNS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32002152A)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: MI  5202007559)
Enumeration Date2015-07-08
Last Update Date2015-07-08
Business Address
-- AMBER DAWN SMITH COTA
52565 STATE ROAD 933
SOUTH BEND, IN 46637-3257
Phone number: 574-247-7044
Mailing Address
-- AMBER DAWN SMITH COTA
52565 STATE ROAD 933
SOUTH BEND, IN 46637-3257
Phone number: 574-213-4721