Individual
MS. REBECCA J AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1832 GRAFTON PL, FORT WAYNE, IN 46808-3526
(260) 459-2408
Mailing address
1832 GRAFTON PL, FORT WAYNE, IN 46808-3526
(260) 459-2408
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001465A
IN
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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