Individual
RETUSHI BAIDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3132 E WASHINGTON BLVD, FORT WAYNE, IN 46803-1536
(260) 310-9599
Mailing address
6233 SAINT JOE RD APT 304-A, FORT WAYNE, IN 46835-2195
(260) 410-4783
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
IN
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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