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1942744511
KEITH SCREEN
WEST LAFAYETTE, IN
NPI
1942744511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31001907A)
Enumeration Date
2016-12-15
Last Update Date
2016-12-15
Business Address
Mr. KEITH SCREEN OTR
3401 SOLDIERS HOME RD
WEST LAFAYETTE, IN 47906-1222
Phone number: 765-464-7546
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Mailing Address
Mr. KEITH SCREEN OTR
3401 SOLDIERS HOME RD
WEST LAFAYETTE, IN 47906-1222
Phone number: 765-464-7546
Copy
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