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NPI Code Detail

MEDICARE: KATIE FORD

MEDICARE:   KATIE  FORD
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
1224Z00000XOccupational Therapy Assistant32002073AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427470848
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE FORD
Provider Business Mailing Address
First Line : 1317 LOUISEDALE DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46808-1555
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2827 NORTHGATE BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46835-2900
Country : US
Telephone Number : 260-492-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2014
Last Update Date : 01/30/2024

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Directions to “ KATIE FORD ” Practice Location

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