KATRINA ELISABETH ROACH

FORT WAYNE, IN
NPI1154529113
Former NameKATRINA ELISABETH SENNETT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06003339A)
Enumeration Date2007-07-10
Last Update Date2007-07-10
Business Address
-- KATRINA ELISABETH ROACH PTA
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4638
Phone number: 260-373-4500
Mailing Address
-- KATRINA ELISABETH ROACH PTA
5148 TRUEMPER WAY APT 9
FORT WAYNE, IN 46835-3219
Phone number: 260-485-0286
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