Individual
ALEXANDER MILENTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7125 HANNA ST, FORT WAYNE, IN 46816-1166
(260) 447-8811
Mailing address
13101 VITIANO CT, FORT WAYNE, IN 46845-8838
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005923A
IN
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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