Individual
HEATHER KLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2909 HOWARD DR, JASPER, IN 47546-1113
(812) 482-6161
Mailing address
2909 HOWARD DR, JASPER, IN 47546-1113
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001693A
IN
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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