# FERGUSON OCCUPATIONAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ferguson Occupational Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689421653
- **Authorized official:** JENNIFER FERGUSON MOT, OTR/L, CAPS (CEO)
- **Authorized official phone:** (260) 479-0952

## Contact information

- **Practice address:** 836 E WALLEN RD, FORT WAYNE, IN 46825-2836
- **Practice address phone:** (260) 479-0952
- **Mailing address:** 836 E WALLEN RD, FORT WAYNE, IN 46825-2836
- **Mailing address phone:** (260) 479-0952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2024
- **Last updated:** 05/06/2024