Individual
MISS KATHLEEN M FRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10305 DAWSONS CREEK BLVD, STE F, FORT WAYNE, IN 46825-1914
(260) 497-0328
(260) 497-0904
Mailing address
10305 DAWSONS CREEK BLVD, STE F, FORT WAYNE, IN 46825-1914
(260) 497-0328
(260) 497-0904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006769A
IN
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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