Individual
JOANNE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9426 LIMA ROAD, A, FORT WAYNE, IN 46818
(260) 497-0328
Mailing address
9426 LIMA ROAD, A, FORT WAYNE, IN 46818
(260) 497-0328
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002668A
IN
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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