Individual
ANGELA KLUKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
440 EDMOND DR, DYER, IN 46311-1523
(219) 322-1415
Mailing address
440 EDMOND DR, DYER, IN 46311-1523
(219) 322-1415
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31007793A
IN
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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