Individual
INDIRA D KRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 450-0085
Mailing address
10404 ANTELOPE CT, FORT WAYNE, IN 46804-4909
(260) 450-0085
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IN
Other
Enumeration date
07/28/2021
Last updated
08/25/2021
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