Individual
ASHLEY NICOLE GRABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10445 DUPONT OAKS BLVD, FORT WAYNE, IN 46845-8792
(260) 471-4770
Mailing address
10011 GRABER RD, GRABILL, IN 46741-9414
(260) 797-6157
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005933A
IN
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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