Individual
SARAH HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
332 W 806 N, VALPARAISO, IN 46385-7973
(219) 764-4888
Mailing address
332 W 806 N, VALPARAISO, IN 46385-7973
(219) 764-4888
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002696A
IN
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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