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Organization

PREMIER STRATEGIES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE P. BERRY OTR (OWNER/PROVIDER)
(260) 385-2130
Entity
Organization

Contact information

Practice address
10620 CORPORATE DR, STE C, FORT WAYNE, IN 46845-1711
(260) 385-2130
(260) 818-2044
Mailing address
10620 CORPORATE DR, STE C, FORT WAYNE, IN 46845-1711
(260) 385-2130
(260) 818-2044

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000293A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200628720A
IN
Enumeration date
06/18/2012
Last updated
06/18/2012
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