# ORTHOPEDIC OCCUPATIONAL THERAPY LLC

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

## Provider details

- **NPI number:** 1831771724
- **Authorized official:** DR. MICHELLE H MAYS OTD, OTR, CHT (CEO)
- **Authorized official phone:** (260) 433-1967

## Contact information

- **Practice address:** 6408 CONSTITUTION DR, FORT WAYNE, IN 46804-1558
- **Practice address phone:** (260) 433-1967
- **Practice address fax:** (260) 459-0282
- **Mailing address:** 662 CHADINGS DR, ROANOKE, IN 46783-8875
- **Mailing address phone:** (260) 433-1967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 225XE1200X | Ergonomics Occupational Therapist | — | NULL | — |
| 225XE1200X | Ergonomics Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 04/21/2021
- **Last updated:** 04/27/2021