Individual
MRS. KAREN DARA PHARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7362
Mailing address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7362
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000704A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32000704A
STATE LICENSE NUMBER
IN
Enumeration date
11/29/2010
Last updated
11/29/2010
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