Individual
MS. AMY LYNN BLAETTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5736 THORNBRIAR LN, FORT WAYNE, IN 46835-3874
(260) 515-9071
Mailing address
5736 THORNBRIAR LN, FORT WAYNE, IN 46835-3874
(260) 515-9071
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31000439A
IN
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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