Organization
PURSUIT FORT WAYNE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MILLER (OWNER)
(407) 495-8761
Entity
Organization
Contact information
Practice address
4930 ILLINOIS RD STE A1, FORT WAYNE, IN 46804-5105
(260) 240-9596
Mailing address
4930 ILLINOIS RD STE A1, FORT WAYNE, IN 46804-5105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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