Individual
KATHRYN DEMITROULAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 MILLER AVE, GARY, IN 46403-2469
(219) 427-0196
Mailing address
6100 MILLER AVE, GARY, IN 46403-2469
(219) 427-0196
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
31004796A
IN
Other
Enumeration date
06/24/2009
Last updated
03/17/2018
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