Individual
JENNIFER KRUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9426 LIMA RD STE A, FORT WAYNE, IN 46818-8681
(260) 497-0328
Mailing address
12844 COLDWATER RD STE B, FORT WAYNE, IN 46845-8833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013203A
IN
Other
Enumeration date
11/07/2018
Last updated
09/02/2021
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