Individual
DEREK MUMAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8420 ILLINOIS RD, FORT WAYNE, IN 46804
(260) 969-8992
Mailing address
4251 LAHMEYER RD, FORT WAYNE, IN 46815-5676
(260) 432-4700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013923A
IN
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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