Individual
PAMELA LOUISE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1574 STATE ROAD 502, SANTA FE, NM 87506-2697
(812) 267-0163
Mailing address
PO BOX 86, DEPAUW, IN 47115-0086
(812) 267-0163
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2747
NM
Other
Enumeration date
12/04/2010
Last updated
12/04/2010
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