Individual
MR. JUSTIN SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3811 PARNELL AVE., FORT WAYNE, IN 46805
(260) 482-4651
Mailing address
934 HEARTLAND DR., FORT WAYNE, IN 46825
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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