Individual
RHETA DENISE CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
247 N 600 E, AVILLA, IN 46710-9616
(260) 750-5748
Mailing address
247 N 600 E, AVILLA, IN 46710-9616
(260) 750-5748
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
52268
IN
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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