Individual
DR. GRACE WACHENSCHWANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(800) 360-8387
Mailing address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(800) 360-8387
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006357A
IN
Other
Enumeration date
06/18/2017
Last updated
10/11/2023
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