# ALTERNATIVE OT SERVICES

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

## Provider details

- **NPI number:** 1467610345
- **Authorized official:** CAROL C FIENHAGE OTR (DIRECTOR)
- **Authorized official phone:** (765) 286-1579

## Contact information

- **Practice address:** 812 W WHITE RIVER BLVD, MUNCIE, IN 47303-3868
- **Practice address phone:** (765) 286-1579
- **Mailing address:** 412 N MAIN ST, FARMLAND, IN 47340-9796
- **Mailing address phone:** (765) 286-1579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | 32001294A | IN | — |
| 225X00000X | Occupational Therapist | 31002888A | IN | Yes |

## Other

- **Enumeration date:** 05/28/2008
- **Last updated:** 05/28/2008