Individual
CINDI ROLLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3320 N CLINTON ST, FORT WAYNE, IN 46805-1918
(260) 483-2100
Mailing address
PO BOX 433, LEO, IN 46765-0433
(260) 238-4082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05000884A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000345140
BLUE CROSS SHIELD PIN
IN
Enumeration date
02/16/2007
Last updated
07/08/2007
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