Individual
MRS. CYNTHIA K ALMODOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7519 WINCHESTER RD, FORT WAYNE, IN 46819-2242
(260) 747-1101
Mailing address
7519 WINCHESTER RD, FORT WAYNE, IN 46819-2242
(260) 747-1101
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001485A
IN
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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