JOSHUA NIRMAL PRASAN SUDHARSANA DOSS

FORT WAYNE, IN
NPI1053662080
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05009844A)
Enumeration Date2012-10-01
Last Update Date2012-10-01
Business Address
Mr. JOSHUA NIRMAL PRASAN SUDHARSANA DOSS PT
4407 COVENTRY PKWY
FORT WAYNE, IN 46804-7105
Phone number: 765-506-3639
Mailing Address
Mr. JOSHUA NIRMAL PRASAN SUDHARSANA DOSS PT
4407 COVENTRY PKWY
FORT WAYNE, IN 46804-7105
Phone number: 765-506-3639