Individual
MRS. MICHELLE L VANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3811 PARNELL AVE, FORT WAYNE, IN 46805-1409
(260) 482-4651
(260) 483-9505
Mailing address
3819 WILLSHIRE ESTATES DR, FORT WAYNE, IN 46815-5331
(260) 486-2738
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002147A
IN
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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