Individual
LAURA K SIMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
900 PROVIDENT DR, WARSAW, IN 46580-3252
(574) 371-2500
(574) 371-2139
Mailing address
2209 KENWOOD AVE, FORT WAYNE, IN 46805-2753
(260) 471-4950
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002062A
IN
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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