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Individual

LINDA NIEDERMEYER OKLESHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8413 HUNTERS KNOLL RUN, FORT WAYNE, IN 46825-6406
(260) 433-6860
Mailing address
8413 HUNTERS KNOLL RUN, FORT WAYNE, IN 46825-6406
(260) 433-6860

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
IN

Other

Enumeration date
10/30/2019
Last updated
10/30/2019
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