Individual
DANELLE HAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12909 ARCOLA RD, FORT WAYNE, IN 46818-9726
(260) 452-9353
Mailing address
12909 ARCOLA RD, FORT WAYNE, IN 46818-9726
(260) 452-9353
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001816A
IN
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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