Individual
AMY CHAPPELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1717 MAPLECREST RD, FORT WAYNE, IN 46815-7656
(260) 417-4622
Mailing address
9528 HARTZELL RD, FORT WAYNE, IN 46816-9729
(260) 417-4622
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000314A
IN
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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