Individual
EMMA ROSALIE EFANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
1120 S CALUMET RD, SUITE 3, CHESTERTON, IN 46304-3285
(219) 983-9675
(219) 983-9681
Mailing address
745 MCCOOL RD, VALPARAISO, IN 46385-8862
(219) 759-4567
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001217A
IN
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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