Individual
LAURA SPARACINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
750 RANSOM RD, VALPARAISO, IN 46385-8973
(219) 464-9607
Mailing address
870 CLEARWATER CV E, CROWN POINT, IN 46307-5328
(219) 464-9607
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003344A
IN
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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