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Individual

TABATHA MARKASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2906 HIGHWAY AVE, HIGHLAND, IN 46322-1631
(219) 513-8311
Mailing address
9819 ARTHUR CT, CROWN POINT, IN 46307-2316
(708) 369-0768

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057003331
IL
224Z00000X
Occupational Therapy Assistant
Primary
32001932A
IN

Other

Enumeration date
06/18/2018
Last updated
06/18/2018
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