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Individual

LAURA LYNN DELOACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
2564 FOX POINTE DR, COLUMBUS, IN 47203-3181
(866) 962-7609
Mailing address
306 S MAIN ST, EDINBURGH, IN 46124-1339
(812) 223-1087

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002174A
IN

Other

Enumeration date
03/21/2018
Last updated
03/21/2018
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