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Organization
FORT WAYNE SEATING & REHAB CORPORATION
Active
Organization
FORT WAYNE SEATING & REHAB CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA MICHAEL OESTERLING OTR/L, ATP (CEO)
(812) 560-9173
Entity
Organization
Contact information
Practice address
9315 THUNDER HILL PL, FORT WAYNE, IN 46804-4825
(260) 420-0332
Mailing address
9315 THUNDER HILL PL, FORT WAYNE, IN 46804-4825
(260) 420-0332
(260) 420-0330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005736A
IN
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300014000
—
IN
Enumeration date
10/25/2017
Last updated
04/26/2021
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