CHAD UMPHRESS

BEDFORD, IN
NPI1952646333
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32000858A)
Enumeration Date2012-12-11
Last Update Date2012-12-11
Business Address
CHAD UMPHRESS COTA
2137 16TH ST
BEDFORD, IN 47421-3003
Phone number: 812-275-5593
Mailing Address
CHAD UMPHRESS COTA
2137 16TH ST
BEDFORD, IN 47421-3003
Phone number: 812-275-5593