Individual
MRS. MICHELLE ANN CHENOWETH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
429 W LINCOLN RD, KOKOMO, IN 46902-3508
(765) 453-5600
Mailing address
5327 NORTH 1250 EAST, RUSSIAVILLE, IN 46979
(765) 883-5805
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000229A
IN
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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