Individual
NATALIE JONES NEISWONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10443 ILLINOIS RD, FORT WAYNE, IN 46814-9181
(260) 625-5005
(260) 625-9004
Mailing address
10443 ILLINOIS RD, FORT WAYNE, IN 46814-9181
(260) 625-5005
(260) 625-9004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006794A
IN
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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