Individual
ROBERT WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3715 UNION CHAPEL RD, FORT WAYNE, IN 46845-7400
(614) 271-2625
Mailing address
3715 UNION CHAPEL RD, FORT WAYNE, IN 46845-7400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001399A
IN
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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