CHASSIDY JOHNSON

FORT WAYNE, IN
NPI1780728485
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32000934A)
Enumeration Date2007-02-16
Last Update Date2007-07-08
Business Address
CHASSIDY JOHNSON COTA
3320 N CLINTON ST
FORT WAYNE, IN 46805-1918
Phone number: 260-483-2100
Mailing Address
CHASSIDY JOHNSON COTA
8805 W 350 S
KIMMELL, IN 46760-9749
Phone number: 260-799-4332
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