Individual
UMESH DUTT SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2326 NAUTILUS CV, FORT WAYNE, IN 46814-8940
(260) 625-3086
Mailing address
2326 NAUTILUS CV, FORT WAYNE, IN 46814-8940
(260) 625-3086
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001752A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1555-656
—
IN
Enumeration date
07/05/2007
Last updated
07/08/2007
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