Individual
MRS. CYNTHIA ANNE JACKEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7125 HANNA ST, FORT WAYNE, IN 46816-1166
(260) 447-8811
Mailing address
522 THURSTON CT, FORT WAYNE, IN 46825-1152
(570) 419-3935
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010511A
IN
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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