Individual
HERMAN DONALD EAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
303 N HURSTBOURNE PKWY, 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
3352 W RIDGEWOOD DR, ROCKPORT, IN 47635-8329
(812) 649-5449
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000545A
IN
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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