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1992074579
SUSAN L TEUBNER
FORT WAYNE, IN
NPI
1992074579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32002099A)
Enumeration Date
2011-12-28
Last Update Date
2011-12-28
Business Address
Ms. SUSAN L TEUBNER COTA
2703 BROKEN ARROW
FORT WAYNE, IN 46825
Phone number: 352-978-6772
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Mailing Address
Ms. SUSAN L TEUBNER COTA
2703 BROKEN ARROW DR
FORT WAYNE, IN 46825-3909
Phone number: 352-978-6772
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