Individual
TANYA FONDEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 W 12TH ST, 4 WEST, PERU, IN 46970-1638
(765) 475-2160
(765) 475-2164
Mailing address
1800 N WABASH RD STE 203, MARION, IN 46952-1300
(765) 651-3229
(765) 651-3227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011795A
IN
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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