FRED LUSTER

GRANGER, IN
NPI1316480254
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05006770A)
Enumeration Date2016-11-26
Last Update Date2021-03-30
Business Address
FRED LUSTER MPT
3221 BEACON PKWY STE 100
GRANGER, IN 46530
Phone number: 574-647-2930
Mailing Address
FRED LUSTER MPT
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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