Individual
MS. CHRISTI WIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2827 NORTHGATE BLVD, FORT WAYNE, IN 46835-2900
(260) 492-1400
Mailing address
2827 NORTHGATE BLVD, FORT WAYNE, IN 46835-2900
(260) 492-1400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004749A
IN
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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