Individual
MARIA CATHERINE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1717 MAPLECREST RD, FORT WAYNE, IN 46815-7656
(260) 493-0012
Mailing address
5711 MATEO DR, FORT WAYNE, IN 46835-1718
(260) 203-8660
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003365A
IN
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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