Individual
MICHELLE DINCECCO GREENAWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
3306 GREYFOX DR, VALPARAISO, IN 46383-2683
(310) 882-0098
Mailing address
3306 GREYFOX DR, VALPARAISO, IN 46383-2683
(310) 882-0098
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/13/2008
Last updated
11/27/2017
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