Individual
MRS. ANN MARIE FOUTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6504 E 129TH AVE, CROWN POINT, IN 46307-9087
(219) 662-7654
(219) 662-2136
Mailing address
316 HOLTON RDG, CROWN POINT, IN 46307-3115
(219) 662-9714
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000181A
IN
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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