Individual
JARED LEE BICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11130 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845
(260) 266-7400
Mailing address
11130 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1735
(260) 266-7400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011772A
IN
Other
Enumeration date
08/03/2015
Last updated
11/27/2019
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