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MR. EDMUND JOSEPH GERVAIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
5050 N CLINTON ST, FORT WAYNE, IN 46825-5886
(260) 484-8551
(260) 408-8014
Mailing address
5050 N CLINTON ST, FORT WAYNE, IN 46825-5886
(260) 484-8551
(260) 408-8014

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
IN

Other

Enumeration date
05/30/2012
Last updated
05/30/2012
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