Individual
DANIELLE LYNN PAPENBROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1715 BAYER AVE, FORT WAYNE, IN 46805-4205
(260) 797-7260
Mailing address
1715 BAYER AVE, FORT WAYNE, IN 46805-4205
(260) 797-7260
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
32001797A
IN
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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