Individual
MR. ANDREW JAMES HAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1407 KENSINGTON BLVD, FORT WAYNE, IN 46805-5337
(260) 422-8422
Mailing address
1407 KENSINGTON BLVD, FORT WAYNE, IN 46805-5337
(260) 422-8422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004663A
IN
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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