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Martin Diedrich, COTA
NPI 1376845214 · on the registry since 2010
Practice
- Address
- 2121 Lake Ave
Fort Wayne, IN 46805 - Phone
- (180) 036-0838
- Fax
- (260) 421-1821
- Organisation at this address
- Nihcs
Marion Vamc
Marion Vamc
Va Hospital
Va Northern Indiana HcsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 354
Registry record
- Primary taxonomy
- Occupational Therapy Assistant
224Z00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-11-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana