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Individual

MRS. MARGARET KATHLEEN BRONSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4303 LAHMEYER RD, FORT WAYNE, IN 46815-5677
(260) 443-3044
Mailing address
9823 AUBURN RD, FORT WAYNE, IN 46825-2347
(260) 497-7191

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008097A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11456687
CAQH
IN
01
1424
PHP
IN
01
156572
MEDICARE
IN
05
200443000A
IN
01
35179001202
CARESOURCE
IN
01
4423623
AETNA
IN
01
N242400
HARMONY
IN
Enumeration date
11/27/2006
Last updated
08/25/2025
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