Individual
BRISTOL KLAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1616 S 25TH ST, TERRE HAUTE, IN 47803-3697
(812) 232-2118
Mailing address
8400 HEATHERMOR CT, AVON, IN 46123-7046
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005798A
IN
Other
Enumeration date
08/02/2017
Last updated
03/17/2018
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