Individual
KAY ANN AZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS-PT, MA
Contact information
Practice address
100 NAVARRE PL, SUITE 6650, SOUTH BEND, IN 46601-1156
(574) 647-3158
(574) 647-1351
Mailing address
328 N MICHIGAN ST, SUIT 200, SOUTH BEND, IN 46601-1244
(574) 647-1842
(574) 647-1825
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05000664A
IN
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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