Individual
KAYLA MOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
12938 COLDWATER RD, FORT WAYNE, IN 46845-9517
(260) 245-1455
Mailing address
12938 COLDWATER RD, FORT WAYNE, IN 46845-9517
(260) 245-1455
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31007211A
IN
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
08/01/2020
Last updated
08/24/2023
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