Individual
MR. JOSHUA CORBIN CUMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
5050 N CLINTON ST, FORT WAYNE, IN 46825-5822
(260) 484-8551
Mailing address
10617 WILLOW CREEK DR, FORT WAYNE, IN 46845-8988
(260) 373-0127
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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