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Individual

STEPHANIE R BANDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT, ATC

Contact information

Practice address
5750 COVENTRY LN, SUITE 101, FORT WAYNE, IN 46804-7166
(260) 436-9337
(260) 436-9626
Mailing address
729 VILLA PARK CT, FORT WAYNE, IN 46808-1540
(309) 825-5259

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009611A
IN

Other

Enumeration date
07/16/2008
Last updated
12/21/2009
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