Individual
LAUREN CLIFFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5202 SAINT JOE RD, FORT WAYNE, IN 46835-3380
(260) 632-8116
Mailing address
4129 BUESCHING DR, FORT WAYNE, IN 46815-4807
(419) 630-8830
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005808A
IN
225200000X
Physical Therapy Assistant
PTA011936
OH
Other
Enumeration date
09/03/2018
Last updated
09/03/2018
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