SearchIndianaOccupational Therapy Assistant

Dustin Carboni, COTA

NPI 1588975577 · on the registry since 2010

Practice

Address
1527 West Till Road
Fort Wayne, IN 46825
Phone
(260) 312-1794

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
2010-06-24

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