Search › Indiana › 273Y00000X
Melanie Shanks, COTA
NPI 1619317062 · on the registry since 2013 · sole proprietor
Practice
- Address
- 4523 Fairlawn Pass
Fort Wayne, IN 46815 - Phone
- (765) 618-3464
Registry record
- Primary taxonomy
- 273Y00000X
273Y00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-06-30
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