ELAINE COLEMAN PROUTY

FORT WAYNE, IN
NPI1013464122
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: IN  05012263A)
Enumeration Date2016-09-07
Last Update Date2016-09-07
Business Address
-- ELAINE COLEMAN PROUTY
9426 LIMA RD
FORT WAYNE, IN 46818-8680
Phone number: 260-497-0328
Mailing Address
-- ELAINE COLEMAN PROUTY
9426 LIMA RD
FORT WAYNE, IN 46818-8680
Phone number: