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1013464122
ELAINE COLEMAN PROUTY
FORT WAYNE, IN
NPI
1013464122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: IN 05012263A)
Enumeration Date
2016-09-07
Last Update Date
2016-09-07
Business Address
-- ELAINE COLEMAN PROUTY
9426 LIMA RD
FORT WAYNE, IN 46818-8680
Phone number: 260-497-0328
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Mailing Address
-- ELAINE COLEMAN PROUTY
9426 LIMA RD
FORT WAYNE, IN 46818-8680
Phone number:
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FORTIFY PHYSICAL THERAPY LLC