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Individual

MRS. KAREN SUE SHORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
105 N 13TH ST, DECATUR, IN 46733-1409
(260) 724-2440
(260) 724-2402
Mailing address
14535 MILL RD, FORT WAYNE, IN 46816-9447
(260) 639-3629

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
IN05006582A
IN
225100000X
Physical Therapist
PT008652
OH

Other

Enumeration date
03/06/2012
Last updated
03/06/2012
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