NPI 1063688828

Lewis Glenn Carver, COTA

Practitioner Occupational Therapy Assistant Demotte, IN

Practice location

Address: 614 Azalea St SE, Demotte, IN 46310-8744
Phone: (219) 987-2894

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 32001364A (IN)

Other Occupational Therapy Assistant providers in Indiana →

Registry record

NPI: 1063688828
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2008
Record last updated: 1 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.