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Individual

PATRICK C KLOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1725 N 5TH ST, TERRE HAUTE, IN 47804-4010
(812) 238-7210
Mailing address
1225 N 9TH ST, TERRE HAUTE, IN 47807-1117
(812) 249-3168

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005905A
IN

Other

Enumeration date
08/16/2024
Last updated
08/16/2024
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