Individual
BRIAN BERNARD CONAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
7125 S HANNA ST, FORT WAYNE, IN 46816
(260) 668-1691
Mailing address
3113 PINOAK CT, FORT WAYNE, IN 46814-8911
(260) 668-1691
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001037A
IN
Other
Enumeration date
11/14/2018
Last updated
07/02/2020
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