AMANDA MARIE GRUBB

FORT WAYNE, IN
NPI1982395299
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32003383A)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: OH  OTA007230)
Enumeration Date2023-05-17
Last Update Date2023-05-17
Business Address
AMANDA MARIE GRUBB cota
1400 MEDICAL PARK DR
FORT WAYNE, IN 46825-5832
Phone number: 260-484-1558
Mailing Address
AMANDA MARIE GRUBB cota
PO BOX 83
MARK CENTER, OH 43536-0083
Phone number: 574-732-7895