Individual
HANNAH KOENEMAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3439 HOBSON RD, FORT WAYNE, IN 46805-1617
(260) 373-7929
Mailing address
3439 HOBSON RD, FORT WAYNE, IN 46805-1617
(260) 373-7925
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05012555A
IN
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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