Provider First Line Business Practice Location Address:
3898 NEW VISIONS DRIVE
Provider Second Line Business Practice Location Address:
SUITE D HANDS ON PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
FORT WAYNE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46845
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
260-483-1010
Provider Business Practice Location Address Fax Number:
260-483-1011
Provider Enumeration Date:
09/15/2006