Individual
JENNY STRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5800 FAIRFIELD AVE STE 150, FORT WAYNE, IN 46807-3450
(260) 744-5585
(260) 744-5586
Mailing address
945 TALON CT, BROOKFIELD, WI 53045-6646
(260) 615-3911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05009253A
IN
225100000X
Physical Therapist
Primary
14004
WI
Other
Enumeration date
07/03/2007
Last updated
05/03/2018
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