Individual
GRETCHEN KLINKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9426 LIMA RD, FORT WAYNE, IN 46818-8680
(260) 497-0632
Mailing address
9426 LIMA RD, FORT WAYNE, IN 46818-8680
(260) 497-0632
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005362A
IN
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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