Organization
DREAM BIG THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA ANNE SPEARS PT (OWNER)
(260) 704-2755
Entity
Organization
Contact information
Practice address
8621 MEDICINE BOW RUN, FORT WAYNE, IN 46825-6252
(260) 704-2755
(260) 489-2755
Mailing address
8621 MEDICINE BOW RUN, FORT WAYNE, IN 46825-6252
(260) 704-2755
(260) 489-2755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001372
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200729370A
—
IN
Enumeration date
04/28/2008
Last updated
04/28/2008
Update your record
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