Organization
PRO-KIDS THERAPY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA SUE DUTY OTR (REGISTERED OCCUPATIONAL THERAPIST)
(260) 463-5528
Entity
Organization
Contact information
Practice address
3010 E STATE BLVD, FORT WAYNE, IN 46805-4700
(260) 463-5528
Mailing address
6820 S STATE ROAD 9, WOLCOTTVILLE, IN 46795-9278
(260) 463-5528
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2008
Last updated
03/31/2008
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