Individual
LANA SUE BIENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
(260) 426-5431
Mailing address
2918 GLENCAIRN DR, FORT WAYNE, IN 46815-6716
(260) 426-5431
(260) 421-1821
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008054A
IN
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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