GWEN ELLEN NIEDERMEYER

OSSIAN, IN
NPI1639382286
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32000976A)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
Ms. GWEN ELLEN NIEDERMEYER COTA
215 DAVIS RD
OSSIAN, IN 46777
Phone number: 260-622-7821
Mailing Address
Ms. GWEN ELLEN NIEDERMEYER COTA
2625 GLENWOOD AVE
FORT WAYNE, IN 46805
Phone number: 260-482-2279
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