Individual provider · Type 1 NPI

Amanda Nichole Smith, ATC/OTR

Occupational Therapist · Fort Wayne, IN

NPI number 1144550963 Active

Practice location

11143 Parkview Plaza Dr Ste 100
Fort Wayne, IN 46845-1728

Call (260) 266-7400 Map

Fax (260) 266-7439

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X36001238A (IN)
Occupational Therapist Primary 225X00000X31005393A (IN)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1144550963

Amanda Nichole Smith, ATC/OTR's National Provider Identifier is 1144550963, issued on Dec 29, 2009. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 8, 2021.