Individual
MRS. CARLENE SUE DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
722 W BRISTOL ST, BLDG. 810 SUITE R, ELKHART, IN 46514-2988
(574) 215-2615
Mailing address
206 KRIDER DR, MIDDLEBURY, IN 46540-9018
(574) 825-4824
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002418A
IN
Other
Enumeration date
04/07/2007
Last updated
07/08/2007
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