Individual
MARY KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1726 BLUFFTON RD, FORT WAYNE, IN 46809-1305
(260) 432-4700
Mailing address
4251 LAHMEYER RD, FORT WAYNE, IN 46815-5676
(260) 432-4700
(260) 459-9262
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007628A
IN
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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