Amanda Marie Smithson COTA

NPI 1407187073 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1407187073
Gender Female
Enumeration Date 01/21/2010
Last Updated 01/21/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
2001 HOBSON RD
FORT WAYNE IN, 46805-4872, US
Phone (260) 484-9557
Fax
Business Location
629 LILLIAN AVE
FORT WAYNE IN, 46808-2111, US
Phone (260) 483-2217
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Indiana
License Number 32001232A
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According to our database, Mrs. Amanda Marie Smithson COTA NPI is 1407187073, taxonomy code is 224Z00000X and license number is 32001232A, license state is located at Indiana. Amanda Marie Smithson COTA physically located at 2001 Hobson Rd, Fort Wayne IN, 46805-4872. NPI Number Amanda Marie Smithson COTA has the Individual type.

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1407187073 NPI number is provided on an as is basis without warranty of any kind. 1407187073 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Marie Smithson COTA are for informational purposes only.