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Individual

MISS PATRICIA KEPLINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
2940 NORTH CLINTON STREET, 5405 MONARCH DR., FORT WAYNE, IN 46805-7455
(260) 484-0602
Mailing address
5405 MONARCH DR, FORT WAYNE, IN 46815-7455
(260) 493-6143

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001394A
IN

Other

Enumeration date
12/23/2009
Last updated
12/23/2009
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