Individual
MR. SANTOSH KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 MOREHOUSE AVE, ELKHART, IN 46517-2552
(574) 295-8800
Mailing address
25690 FREDA DR, APT # A, ELKHART, IN 46514-5442
(574) 343-6954
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004879A
IN
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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