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Mary Esquivel

Occupational Therapy Assistant in Fort Wayne, IN. Individual provider (NPI-1).

NPI number1982148516
StatusActive
Last updated in NPPESDec 16, 2016

Details

NPI
1982148516
Entity type
Individual (NPI-1)
Name
Mary Esquivel
Sex
Female
Sole proprietor
No
Enumeration date
Dec 16, 2016
Last updated
Dec 16, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant32002118aINYes

Practice location

9426 Lima Rd
Fort Wayne, IN 46818-8680

Phone 260-497-0328

Mailing address

9426 Lima Rd
Fort Wayne, IN 46818-8680

Phone 260-497-0328

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