Individual
JEFFREY LAMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3320 N CLINTON ST, FORT WAYNE, IN 46805-1918
(260) 483-2100
Mailing address
1902 MAJESTIC LN, FORT WAYNE, IN 46815-7432
(260) 748-4664
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002722A
IN
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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