Individual
RENEE E WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2837 E DUPONT RD, FORT WAYNE, IN 46825-1668
(260) 497-0328
Mailing address
1729 COLONY DR, FORT WAYNE, IN 46825-5005
(260) 497-0328
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
99050892A
IN
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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