Individual
ARCHANA YENNU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
12523 AUBURN RD, FORT WAYNE, IN 46845-0201
(260) 637-2830
Mailing address
11909 FIREKAT CV, FORT WAYNE, IN 46845-2164
(269) 532-6096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011901A
IN
Other
Enumeration date
11/20/2021
Last updated
11/20/2021
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