Individual
MR. RICHEL OTAYDE PEDRINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
802 E US HIGHWAY 20, MICHIGAN CITY, IN 46360-7424
(219) 861-3121
Mailing address
9 CAMBRIDGE CT APT 1, MICHIGAN CITY, IN 46360-1594
(574) 721-1097
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004521A
IN
Other
Enumeration date
03/07/2008
Last updated
02/02/2012
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