Individual
MS. JACQUELINE MOORHEAD CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3982 NEW VISION DR, FORT WAYNE, IN 46845-1712
(260) 483-9933
(260) 483-9931
Mailing address
3982 NEW VISION DR, FORT WAYNE, IN 46845-1712
(260) 483-9933
(260) 483-9931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001066A
IN
Other
Enumeration date
08/07/2006
Last updated
07/08/2013
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