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NPI Profile for SOARING MIND INC in FORT WAYNE, IN.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Specialist/Technologist |
225500000X | |||
Speech-Language Pathologist |
235Z00000X | 15 | Speech Language Pathologist |
| NPI Number | 1477910479 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/21/2016 | |
| Last updated | 01/21/2016 - About 10 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SOARING MIND, INC.
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SOARING MIND, INC.