Lindsey Stephens

Individual provider Active NPI Occupational Therapy Assistant · Warren, IN

NPI 1124594304 · NPPES record last updated Oct 16, 2018

Key facts

NPI
1124594304
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
Practice address
801 Huntington Ave
Warren, IN 46792-9402
Phone
(260) 375-2201
NPI assigned
Oct 16, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Yes

Addresses

Primary practice location

801 Huntington Ave
Warren, IN 46792-9402

Mailing address

9409 White Shell Dr
Fort Wayne, IN 46804-5910

Other providers in Warren, IN

All providers in Warren, IN · Occupational Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.