Individual
BRIAN THOMAS KREAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1717 MAPLECREST RD, FORT WAYNE, IN 46815-7656
(260) 493-0012
Mailing address
7433 ANTEBELLUM DR, FORT WAYNE, IN 46815-6568
(260) 749-1468
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004475A
IN
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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