Individual
BLESSE USANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, CLT
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-3202
(260) 373-4548
Mailing address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-3202
(260) 373-4548
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
05012816A
IN
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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