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Individual

RENUKA INDLAMURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2940 N CLINTON ST, FORT WAYNE, IN 46805-1910
(260) 484-0602
Mailing address
10120 JEFFERSON WAY, FORT WAYNE, IN 46825-2178
(571) 420-2030

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010214A
IN

Other

Enumeration date
11/21/2010
Last updated
11/21/2010
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