Individual
MR. PETER XAVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
10909 WILLOW CREEK DR, FORT WAYNE, IN 46845-8933
(260) 249-4859
Mailing address
10909 WILLOW CREEK DR, FORT WAYNE, IN 46845-8933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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