Individual
CHERRI LYNN MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1717 MAPLECREST RD, FORT WAYNE, IN 46815-7656
(877) 712-7869
Mailing address
9805 PRINCE CT, FORT WAYNE, IN 46835-9550
(260) 750-9359
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
32001684A
IN
Other
Enumeration date
05/19/2019
Last updated
05/19/2019
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