Individual
REGINA DANYEL DICRISTOFARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR,L
Contact information
Practice address
802 E US HIGHWAY 20, MICHIGAN CITY, IN 46360-7424
(219) 872-7251
Mailing address
316 N CALUMET AVE, MICHIGAN CITY, IN 46360-5017
(219) 871-0527
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004241A
IN
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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