Individual
SOLOMON ASIEDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS,PTA
Contact information
Practice address
1717 MAPLECREST RD, FORT WAYNE, IN 46815-7656
(260) 493-6927
Mailing address
7907 BRUICK LN, FORT WAYNE, IN 46815-8153
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006644A
IN
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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