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Contact Information

MANOJ KUMAR, OTR, CHT
611 E DOUGLAS ROAD, SUITE 108
MISHAWAKA, IN46545
 Phone: 574-968-3520
 Fax: 574-217-4824
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MANOJ KUMAR · (Male)

NPI Number 1548242043
Status Active
Credentials OTR, CHT
Entity Individual
Enumeration date 11/18/2005
Last updated 03/24/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 31001173A
  • IN Medicaid 201299780
  • IN Other 200332623 TAX ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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