Organization
INDIANA PHYSICAL THERAPY INC
Active
Organization
INDIANA PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY SMITH (SENIOR THERAPIST)
(260) 385-8756
Entity
Organization
Contact information
Practice address
2101 E COLISEUM BLVD, FORT WAYNE, IN 46805-1445
(260) 481-0698
Mailing address
4251 LAHMEYER RD, FORT WAYNE, IN 46815-5676
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
36001993A
IN
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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