PETER A PAONESSA

FORT WAYNE, IN
NPI1013910934
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05000862A)
Enumeration Date2005-05-24
Last Update Date2007-07-08
Business Address
-- PETER A PAONESSA P.T.
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-8686
Mailing Address
-- PETER A PAONESSA P.T.
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-8686