Mr. Shane Michael Disheaux, COTA
Mr. Shane Michael Disheaux, COTA is an Occupational Therapy Assistant in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.
- Licensed in
- IN
- In the registry since
- 2007
What do these letters mean?
- COTA — Certified Occupational Therapy Assistant
- Delivers treatment under an occupational therapist's direction.
Practice location Address checks out
2827 Northgate BlvdFort Wayne, IN 46835-2903
Phone: (260) 492-1498
Fax: (260) 492-1674
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 32001345A (IN) |
|---|
Record details
| NPI number | 1508063645 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | COTA |
| Sole proprietor | No |
| NPI enumerated | July 2, 2007 |
| Last updated in NPPES | July 8, 2007 |
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