Individual
MARIE ELENA CLARE VORNDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
11143 PARKVIEW PLAZA DR STE 100, FORT WAYNE, IN 46845-1728
(260) 266-7400
(260) 266-7439
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001695A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200669340A
—
IN
Enumeration date
05/15/2007
Last updated
02/25/2021
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