Individual
SHAYLA LAVIOLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
370 W 80TH PL, MERRILLVILLE, IN 46410-5432
(219) 513-8311
Mailing address
23536 BROADWAY BLVD, ELKHART, IN 46516-6227
(630) 660-4251
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
10/10/2024
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