Individual
MRS. LELA JANE RIORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2350 TAFT ST, GARY, IN 46404-3349
(219) 977-2600
(219) 977-2602
Mailing address
12267 W 107TH PL, SAINT JOHN, IN 46373-8869
(219) 365-1120
(219) 365-1120
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001256A
IN
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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