Individual
CAROL FAUQUHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3259 W 1200 S, HAUBSTADT, IN 47639-8649
(812) 768-9952
Mailing address
3259 W 1200 S, HAUBSTADT, IN 47639-8649
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000433A
IN
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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