Individual
SONYA OVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18241 COUNTY ROAD 40, GOSHEN, IN 46526-5447
(574) 849-2969
Mailing address
18241 COUNTY ROAD 40, GOSHEN, IN 46526-5447
(574) 849-2969
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1495685
IN
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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