SearchIndiana224Z00000X

Stephen Smith, COTA

NPI 1659535755 · on the registry since 2008 · sole proprietor

Practice

Address
7555 Decatur Rd Lot 128
Fort Wayne, IN 46816
Phone
(260) 348-4418

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
2008-07-17

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