Individual
PERCY BOMAN TALATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
2118 INWOOD DR, STE 102, FORT WAYNE, IN 46815-7101
(260) 483-9081
(260) 483-9196
Mailing address
2118 INWOOD DR, STE 102, FORT WAYNE, IN 46815-7124
(260) 483-9081
(260) 483-9196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05000365A
IN
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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