Individual
ELIZABETH SUE GUETLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
25 S BOEHNE CAMP RD, EVANSVILLE, IN 47712-3101
(812) 423-7568
(812) 423-7468
Mailing address
3516 KOEHLER AVE, EVANSVILLE, IN 47720-6127
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000884A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155238
—
IN
Enumeration date
07/02/2007
Last updated
07/08/2007
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