Individual
KENDRA RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1922 CONNAUGHT CT, FORT WAYNE, IN 46815-8170
(260) 403-4716
Mailing address
1922 CONNAUGHT CT, FORT WAYNE, IN 46815-8170
(260) 403-4716
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001764A
IN
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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