Mr. Martin Joseph Diedrich, COTA
Mr. Martin Joseph Diedrich, COTA is an Occupational Therapy Assistant in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2010.
- Licensed in
- IN
- In the registry since
- 2010
What do these letters mean?
- COTA — Certified Occupational Therapy Assistant
- Delivers treatment under an occupational therapist's direction.
Practice location Address checks out
2121 Lake AveFort Wayne, IN 46805-5100
Phone: (180) 036-0838
Fax: (260) 421-1821
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 32001469A (IN) |
|---|
Record details
| NPI number | 1376845214 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | COTA |
| Sole proprietor | No |
| NPI enumerated | November 29, 2010 |
| Last updated in NPPES | November 29, 2010 |
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