IndividualActive
Elias Gathenya
NPI 1669935300 · Feeding, Eating & Swallowing Occupational Therapy Assistant · South Bend, IN
Provider details
- NPI number
- 1669935300
- Entity type
- Individual
- Primary specialty
- Feeding, Eating & Swallowing Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 32002567A (IN)
Mailing address
15828 Clarendon Hills Dr
Granger, IN 46530-7877
Registry dates
- Enumerated
- 2019-04-10
- Last updated
- 2019-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.