KELLEY GICK

FORT WAYNE, IN
NPI1295301802
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06002002A)
Enumeration Date2021-06-03
Last Update Date2021-06-03
Business Address
KELLEY GICK PTA
2927 LAKE AVE
FORT WAYNE, IN 46805-5415
Phone number: 260-469-4148
Mailing Address
KELLEY GICK PTA
1900 CAREW ST STE 6
FORT WAYNE, IN 46805-4765
Phone number: 260-373-9756
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