DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KIMBERLY SUE CONVERSE OT

MEDICARE: KIMBERLY SUE CONVERSE OT
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
1225X00000XOccupational Therapist31000770AIN

General Provider Information

NPI Number : 1356932263
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY SUE CONVERSE OT
Provider Business Mailing Address
First Line : 9515 CARINE CV
Second Line :
City : FORT WAYNE
State : IN
Zip : 46835-9371
Country : US
Telephone Number : 260-348-0270
Fax Number :
Provider Business Practice Location Address
First Line : 2927 LAKE AVE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-5415
Country : US
Telephone Number : 260-452-9985
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2021
Last Update Date : 02/02/2021

Similar Medicare Providers

1639209125 — AGING & IN-HOME SERVICES OF NORTHEAST INDIANA, INC.
Practice Location Address:
2927 LAKE AVE
FORT WAYNE, IN
46805-5415
Practice Phone: 260-745-1200
Practice Fax: 260-456-1066
1851510085 — AGING & IN-HOME SERVICES OF NORTHEAST INDIANA, INC.
Practice Location Address:
2927 LAKE AVE
FORT WAYNE, IN
46805-5415
Practice Phone: 260-745-1200
Practice Fax: 260-469-3079
1780065425 — COMMUNITY LIVING RESOURCES LLC
Practice Location Address:
2927 LAKE AVE
FORT WAYNE, IN
46805-5415
Practice Phone: 260-745-1200
Practice Fax: 260-745-5968
1851775720 — JANELLE COUTURE RDN, CD
Practice Location Address:
2927 LAKE AVE
FORT WAYNE, IN
46805-5415
Practice Phone: 260-745-1200
Practice Fax: 260-745-5968
1003466202 — PACE OF NORTHEAST INDIANA
Practice Location Address:
2927 LAKE AVE
FORT WAYNE, IN
46805-5415
Practice Phone: 260-745-1200
Practice Fax:
1780275578 — CARRIE GUILLAUME MA CCCSLP
Practice Location Address:
2927 LAKE AVE
FORT WAYNE, IN
46805-5415
Practice Phone: 260-452-4062
Practice Fax:

Directions to “ KIMBERLY SUE CONVERSE OT” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.