Individual
JULIE REPLOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR
Contact information
Practice address
409 E COOK RD STE 100, FORT WAYNE, IN 46825-3656
(260) 487-4226
(260) 490-5433
Mailing address
409 E COOK RD STE 100, FORT WAYNE, IN 46825-3656
(260) 487-4226
(260) 490-5433
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006208A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31006208A
OCCUPATIONAL THERAPY COMMITTEE
IN
Enumeration date
05/23/2017
Last updated
07/21/2022
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