Individual
MISSY NEWCOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
58430 SUMMER CHASE DR, ELKHART, IN 46517-9014
(574) 296-9962
(574) 293-0223
Mailing address
58430 SUMMER CHASE DR, ELKHART, IN 46517-9014
(574) 296-9962
(574) 293-0223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001692A
IN
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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