Organization
SOARING MIND, INC.
Active
Other names
MindCAP Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNE M. ZEHR PH.D (DIRECTOR)
(260) 704-3336
Entity
Organization
Contact information
Practice address
6507 CONSTITUTION DR, FORT WAYNE, IN 46804-1551
(260) 271-4650
Mailing address
6507 CONSTITUTION DR, FORT WAYNE, IN 46804-1551
(260) 271-4650
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
225100000X
Physical Therapist
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
225X00000X
Occupational Therapist
31000861A
IN
235Z00000X
Speech-Language Pathologist
22004769A
IN
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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