Individual
ALICE PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
616 E 13TH ST, WINAMAC, IN 46996-1117
(574) 946-2157
Mailing address
616 E 13TH ST, WINAMAC, IN 46996-1117
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000206A
IN
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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