Individual
MICHELLE ANN RITA YPIL-CUCUECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9425 ACACIA PSGE, FORT WAYNE, IN 46835-9101
(260) 249-8563
Mailing address
9425 ACACIA PSGE, FORT WAYNE, IN 46835-9101
(260) 249-8563
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004076A
IN
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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