Individual
LINDA D WOENKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3512 STELLHORN RD, FORT WAYNE, IN 46815-4631
(260) 483-9081
(260) 483-9196
Mailing address
3512 STELLHORN RD, FORT WAYNE, IN 46815-4631
(260) 483-9081
(260) 483-9196
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001061A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31001061A
LICENSE
IN
Enumeration date
03/18/2015
Last updated
03/18/2015
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