Individual
MS. KAREN SUE KETCHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3773 W 275 N, RENSSELAER, IN 47978-7426
(219) 866-4304
Mailing address
3773 W 275 N, RENSSELAER, IN 47978-7426
(219) 866-4304
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000317A
IN
Other
Enumeration date
09/24/2011
Last updated
09/24/2011
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