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Individual

MRS. LORI LYNN SEMRAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
616 E 13TH ST, WINAMAC, IN 46996-1117
(574) 946-2100
(574) 946-2110
Mailing address
616 E 13TH ST, P.O. BOX 279, WINAMAC, IN 46996-1117
(574) 946-2100
(574) 946-2110

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000318A
IN

Other

Enumeration date
10/15/2007
Last updated
10/15/2007
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