Individual
EMALESE ROSE FUELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3840 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 483-2422
(260) 471-0788
Mailing address
3840 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 483-2422
(260) 471-0788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011891A
IN
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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