Individual
MARY SOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 JOLIET ST STE 102, DYER, IN 46311-3087
(219) 440-7930
Mailing address
1160 JOLIET ST STE 102, DYER, IN 46311-3087
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006804A
IN
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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