Melanie Jane Shanks, COTA
NPI #1619317062 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1619317062
- Entity Type
- Individual
- Name
- Melanie Jane Shanks, COTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Rehabilitation Unit
- Credential
- COTA
- Enumeration Date
- Jun 30, 2013
- Last Updated
- Jun 30, 2013
Practice Location
- Address
- 4523 FAIRLAWN PASS
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46815-6039
- Phone
- (765) 618-3464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Unit |
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