Individual
CHERYL A ERTELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
11119 PARKVIEW PLAZA DR, FORT WAYNE, FORT WAYNE, IN 46845-1705
(260) 482-7811
(260) 482-7712
Mailing address
1228 GLENWOOD AVE, FORT WAYNE, FORT WAYNE, IN 46805-2648
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001695
IN
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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