Individual
PAOLO MIGUEL LEBUMFACIL DUMADAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.P.T.
Contact information
Practice address
2001 HOBSON RD, FORT WAYNE, IN 46805-4872
(260) 484-9557
Mailing address
504 CEDAR GLEN DR, APT 4, FORT WAYNE, IN 46825-6214
(260) 416-6305
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008866A
IN
Other
Enumeration date
07/04/2007
Last updated
07/08/2007
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