Individual
MS. CYNTHIA MARIE FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2827 NORTHGATE BLVD, FORT WAYNE, IN 46835-2900
(260) 492-1400
Mailing address
1411 MARGARET AVE, FORT WAYNE, IN 46808-2295
(260) 426-5586
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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