Individual
AUSTIN HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2904 WAL MART DR, HUNTINGTON, IN 46750-8058
(260) 242-5345
Mailing address
4251 LAHMEYER RD, FORT WAYNE, IN 46815-5676
(260) 432-4700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014184A
IN
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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