Individual
KAREN SHRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
320 BOWSER AVE, CHESTERTON, IN 46304-2504
(219) 929-1740
Mailing address
320 BOWSER AVE, CHESTERTON, IN 46304-2504
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06004311A
IN
174400000X
Specialist
160005847
IL
Other
Enumeration date
03/02/2013
Last updated
03/02/2013
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