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Individual

MS. SHEILA FAYE LEFEVRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2515 HUBERTUS AVE, FORT WAYNE, IN 46805-3722
(260) 413-7118
Mailing address
2515 HUBERTUS AVE, FORT WAYNE, IN 46805-3722

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
212322
TX
224Z00000X
Occupational Therapy Assistant
Primary
32001698A
IN

Other

Enumeration date
01/05/2016
Last updated
01/05/2016
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