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Search › Indiana › 224Z00000X

Shane Disheaux, COTA

NPI 1508063645 · on the registry since 2007

Practice

Address
2827 Northgate Blvd
Fort Wayne, IN 46835
Phone
(260) 492-1498
Fax
(260) 492-1674
Organisation at this address
Indiana Health And Rehabilitation Centers
Indiana Health And Rehabilitation Centers
The Health And Hospital Corporation Of Marion County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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