Individual
HALEY BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 MILL LAKE RD, FORT WAYNE, IN 46845-6400
(260) 338-1241
Mailing address
808 MILL LAKE RD, FORT WAYNE, IN 46845-6400
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05011303A
IN
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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