Individual
MRS. PAMELA JEAN GIELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2940 N CLINTON ST, FORT WAYNE, IN 46805-1910
(260) 484-0602
Mailing address
2631 COVINGTON WOODS BLVD, FORT WAYNE, IN 46804-7759
(260) 436-7310
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001567A
IN
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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