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NPI Code Detail

MEDICARE: CHRISTINE KORTHUIS

MEDICARE: CHRISTINE KORTHUIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Q00000XDevelopmental TherapistIN

General Provider Information

NPI Number : 1154285054
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE KORTHUIS
Provider Business Mailing Address
First Line : 2626 SAINT JOE CENTER RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-5042
Country : US
Telephone Number : 260-497-0328
Fax Number :
Provider Business Practice Location Address
First Line : 2626 SAINT JOE CENTER RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-5042
Country : US
Telephone Number : 260-497-0328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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1558633305 — SAMANTHA J COLEMAN COTA
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Directions to “ CHRISTINE KORTHUIS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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