Individual
DR. MICHELLE HOUSER MAYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR, CHT
Contact information
Practice address
6408 CONSTITUTION DR, FORT WAYNE, IN 46804-1558
(260) 433-1967
(260) 459-0282
Mailing address
662 CHADINGS DR, ROANOKE, IN 46783-8875
(260) 433-1967
(260) 459-0282
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004160A
IN
225XH1200X
Hand Occupational Therapist
31004160A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11819337
CAQH
IN
05
—
200888030
—
IN
Enumeration date
01/09/2008
Last updated
02/23/2021
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