Individual
ABEL DEEPAK PERUMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2314 NAUTILUS CV, FORT WAYNE, IN 46814-8940
(248) 622-6706
Mailing address
2314 NAUTILUS CV, FORT WAYNE, IN 46814-8940
(248) 622-6706
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014485A
IN
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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