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Organization

BODY LIGHTS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY ANN COLLINS PT (PHYSICAL THERAPIST)
(260) 249-9269
Entity
Organization

Contact information

Practice address
3501 FAIRFIELD AVE, FORT WAYNE, IN 46807-1805
(260) 249-9269
(260) 745-2500
Mailing address
1612 CHANNEL PL, FORT WAYNE, IN 46825-5935
(260) 249-9269

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005639A
IN

Other

Enumeration date
12/05/2008
Last updated
12/05/2008
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