Kristen Macy
Occupational Therapist in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1669939864
StatusActive
Last updated in NPPESFeb 23, 2019
Details
- NPI
- 1669939864
- Entity type
- Individual (NPI-1)
- Name
- Kristen Macy
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2019
- Last updated
- Feb 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 31004953A | IN | Yes |
Practice location
201 E Rudisill Blvd Ste 301Fort Wayne, IN 46806-1756
Phone 260-348-9887
Mailing address
3384 Riders TrlFort Wayne, IN 46814-0005
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All 173 Occupational Therapist providers in Fort Wayne · All 11,302 providers in Fort Wayne
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