Individual
EMMA KATHRYN NIFONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1692 W LAKE ST, WARSAW, IN 46580-2494
(574) 376-2316
Mailing address
7337 S 600 W, CLAYPOOL, IN 46510-9234
(574) 551-6413
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IN
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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