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Individual

THERESA LETO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3030 LAKE AVE STE 27, FORT WAYNE, IN 46805-5428
(260) 267-5631
Mailing address
3030 LAKE AVE STE 27, FORT WAYNE, IN 46805-5428
(260) 267-5631

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004072A
IN

Other

Enumeration date
12/01/2025
Last updated
12/01/2025
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