Individual
MRS. MARIE ELAINE DEGROATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3405 CAMPBELL ST, VALPARAISO, IN 46385-2363
(219) 462-1023
Mailing address
151 SPRINGWOOD DR, HEBRON, IN 46341-7214
(219) 988-7284
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000984A
IN
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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