CRAIG DISS

FORT WAYNE, IN
NPI1003225392
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06004292A)
Enumeration Date2014-08-12
Last Update Date2014-08-12
Business Address
-- CRAIG DISS PTA
2625 CREEPING PHLOX CV
FORT WAYNE, IN 46818-8942
Phone number: 260-450-4828
Mailing Address
-- CRAIG DISS PTA
2625 CREEPING PHLOX CV
FORT WAYNE, IN 46818-8942
Phone number: 260-450-4828
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