Individual
KRISTINE L. WAFFLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
827 UPLAND RIDGE DR, FORT WAYNE, IN 46825-2286
(260) 341-0294
(260) 489-8329
Mailing address
827 UPLAND RIDGE DR, FORT WAYNE, IN 46825-2286
(260) 341-0294
(260) 489-8329
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05002143A
IN
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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