MICHALE DIANE ROTHGEB

FORT WAYNE, IN
NPI1063817104
Former NameMICHOLE DIANE RITENOUR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06003715A)
Enumeration Date2014-10-31
Last Update Date2014-10-31
Business Address
Mrs. MICHALE DIANE ROTHGEB PTA
2200 RANDOLLIA DR
FORT WAYNE, IN 46805
Phone number: 260-373-3202
Mailing Address
Mrs. MICHALE DIANE ROTHGEB PTA
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Phone number: 260-373-3202