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1063089399
ELENA RENNINGER
FORT WAYNE, IN
NPI
1063089399
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Former Name
ELENA WHITE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05014168A)
Enumeration Date
2021-06-07
Last Update Date
2022-04-04
Business Address
ELENA RENNINGER DPT
8420 ILLINOIS RD
FORT WAYNE, IN 46804
Phone number: 260-969-8992
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Mailing Address
ELENA RENNINGER DPT
4251 LAHMEYER RD
FORT WAYNE, IN 46815-5676
Phone number: 260-432-4700
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