Organization
CORE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD PARENT PT (OWNER)
(260) 438-4273
Entity
Organization
Contact information
Practice address
415 E COOK RD STE 600, FORT WAYNE, IN 46825-3657
(260) 438-4273
Mailing address
415 E COOK RD STE 600, FORT WAYNE, IN 46825-3657
(260) 438-4273
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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