Individual
AMANDA WELKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1717 MAPLECREST RD, FORT WAYNE, IN 46815-7656
(855) 202-2089
Mailing address
5247 US ROUTE 224, CONVOY, OH 45832-8923
(419) 203-0403
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004735A
IN
225200000X
Physical Therapy Assistant
PTA.09127
OH
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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