Individual
DR. KRISTY ANN SAMRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-4500
Mailing address
8025 HOSLER RD, LEO, IN 46765-9541
(260) 418-9935
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011821A
IN
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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