Individual
ROBIN LYNN FEHRENBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
375 S 11TH ST, CLINTON, IN 47842-1053
(765) 832-2491
Mailing address
232 BLACKMAN ST, CLINTON, IN 47842-2307
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001701A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
249691
NBCOT CERTIFICATION
IN
01
—
32001701A
STATE OF INDIANA LICENSE
IN
Enumeration date
12/13/2009
Last updated
12/13/2009
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