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Organization

ALTERNATIVE OT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL C FIENHAGE OTR (DIRECTOR)
(765) 286-1579
Entity
Organization

Contact information

Practice address
812 W WHITE RIVER BLVD, MUNCIE, IN 47303-3868
(765) 286-1579
Mailing address
412 N MAIN ST, FARMLAND, IN 47340-9796
(765) 286-1579

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
32001294A
IN
225X00000X
Occupational Therapist
Primary
31002888A
IN

Other

Enumeration date
05/28/2008
Last updated
05/28/2008
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