Individual
COLLEEN MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3898 NEW VISION DR, BLDG 13, SUITE D, FORT WAYNE, IN 46845-1718
(260) 483-1010
Mailing address
1912 STONERS MILL DR, HUNTERTOWN, IN 46748-9313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010922A
IN
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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