Individual
EMMA ROSA GIRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTA
Contact information
Practice address
216 N 5TH ST, LAFAYETTE, IN 47901-2811
(765) 423-7988
Mailing address
318 S 26TH ST, LAFAYETTE, IN 47904-3116
(260) 417-5109
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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