Organization
ACTIVE PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMAN PANDAY DPT (SOLE MEMBER)
(574) 377-8779
Entity
Organization
Contact information
Practice address
1344 JACOBS DR, FORT WAYNE, IN 46814-8745
(574) 377-8779
Mailing address
1344 JACOBS DR, FORT WAYNE, IN 46814-8745
(574) 377-8779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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