Individual
JANET L PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 CRESCENT AVE, FORT WAYNE, IN 46805-4411
(260) 460-0921
Mailing address
1901 CRESCENT AVE, FORT WAYNE, IN 46805-4411
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001786A
IN
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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