Individual
MR. JOSHUA NIRMAL PRASAN SUDHARSANA DOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4407 COVENTRY PKWY, FORT WAYNE, IN 46804-7105
(765) 506-3639
Mailing address
4407 COVENTRY PKWY, FORT WAYNE, IN 46804-7105
(765) 506-3639
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009844A
IN
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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