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1063817104
MICHALE DIANE ROTHGEB
FORT WAYNE, IN
NPI
1063817104
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Former Name
MICHOLE DIANE RITENOUR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06003715A)
Enumeration Date
2014-10-31
Last Update Date
2014-10-31
Business Address
Mrs. MICHALE DIANE ROTHGEB PTA
2200 RANDOLLIA DR
FORT WAYNE, IN 46805
Phone number: 260-373-3202
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Mailing Address
Mrs. MICHALE DIANE ROTHGEB PTA
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Phone number: 260-373-3202
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