Individual
SARAH VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
780 DICKINSON RD, CHESTERTON, IN 46304-3551
(219) 921-2200
Mailing address
1836 E RAND ST, HOBART, IN 46342-2522
(219) 588-1470
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002552A
IN
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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