Individual
ADRIENNE LESLEY DONZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5202 SAINT JOE RD, FORT WAYNE, IN 46835-3380
(260) 485-6068
Mailing address
10103 PRIVET DR, FORT WAYNE, IN 46835-9183
(260) 227-1389
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003525A
IN
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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