Individual
CHERLYN PO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
52654 N IRONWOOD RD, SOUTH BEND, IN 46637
(574) 277-8710
Mailing address
405 COURT OF THE ROYAL ARMS, SOUTH BEND, IN 46637-4837
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3104312A
IN
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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