Individual
BRIDGET NIEZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 DAVIS RD, OSSIAN, IN 46777-9230
(260) 622-7821
Mailing address
8409 HIALEAH LANE, FORT WAYNE, IN 46804
(260) 246-7048
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
99057338A
IN
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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