Individual
LISA M. COVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10620 CORPORATE DR, SUITE C, FORT WAYNE, IN 46845-1711
(260) 341-8230
(260) 440-8806
Mailing address
10620 CORPORATE DR, SUITE C, FORT WAYNE, IN 46845-1711
(260) 440-8806
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000165A
IN
Other
Enumeration date
05/29/2008
Last updated
05/07/2013
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