Individual
JILL STAMETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 W WASHINGTON CENTER RD, FORT WAYNE, IN 46825-4155
(260) 489-2552
Mailing address
1010 W WASHINGTON CENTER RD, FORT WAYNE, IN 46825-4155
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004551A
IN
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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