Individual
MRS. RAELENE S HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
440 EDMOND DR, DYER, IN 46311-1523
(219) 322-1415
(219) 322-1414
Mailing address
440 EDMOND DR, DYER, IN 46311-1523
(219) 322-1415
(219) 322-1414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.011691
IL
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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