AMANDA M KEGG

FORT WAYNE, IN
NPI1942597877
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32001579A)
Enumeration Date2011-06-29
Last Update Date2011-06-29
Business Address
-- AMANDA M KEGG COTA
5202 SAINT JOE RD SUITE 340
FORT WAYNE, IN 46835-3380
Phone number: 260-485-6068
Mailing Address
-- AMANDA M KEGG COTA
2620 KENWOOD AVE
FORT WAYNE, IN 46805-2841
Phone number: 260-241-6240
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