NPI 1003561903
Amanda Wotring, COTAL
Practice location
- Address
- 6330 N Fir Rd, Granger, IN 46530-4753
- Phone
- (574) 777-0311
- Mailing address
- 25308 Fillmore Rd, South Bend, IN 46619-4557
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1003561903
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Feb 2022
- Record last updated
- 18 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.