JITHMIE JAYAWICKREMA

FORT WAYNE, IN
NPI1124636238
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05013752A)
Enumeration Date2020-07-15
Last Update Date2020-12-28
Business Address
JITHMIE JAYAWICKREMA PT
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN 46845-1728
Phone number: 260-266-7400
Mailing Address
JITHMIE JAYAWICKREMA PT
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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