Individual
MISS TELLA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4329 REED ST, FORT WAYNE, IN 46806-4825
(260) 237-5950
Mailing address
822 W DEWALD ST, FORT WAYNE, IN 46802-5171
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
110987
IN
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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