# PRO-KIDS THERAPY CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326217332
- **Authorized official:** DONNA SUE DUTY OTR (REGISTERED OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (260) 463-5528

## Contact information

- **Practice address:** 3010 E STATE BLVD, FORT WAYNE, IN 46805-4700
- **Practice address phone:** (260) 463-5528
- **Mailing address:** 6820 S STATE ROAD 9, WOLCOTTVILLE, IN 46795-9278
- **Mailing address phone:** (260) 463-5528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/23/2008
- **Last updated:** 03/31/2008