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Individual

CHRISTOPHER SALVADO ROMERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
2827 NORTHGATE BLVD, FORT WAYNE, IN 46835-2903
(260) 492-1498
(260) 492-1674
Mailing address
214 FOX ORCHARD RUN, FORT WAYNE, IN 46825
(260) 479-5646
(260) 492-1674

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004125A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1555-656
IN
Enumeration date
07/03/2007
Last updated
07/08/2007
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