Individual
MARIA U. IJOMANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9602 COLDWATER RD STE 102, FORT WAYNE, IN 46825-2095
(260) 489-9887
(260) 489-9121
Mailing address
9602 COLDWATER RD STE 102, FORT WAYNE, IN 46825-2095
(260) 489-9887
(260) 489-9121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004703A
IN
Other
Enumeration date
06/11/2009
Last updated
10/29/2013
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