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1316675150
NIDEO FOSTER
FORT WAYNE, IN
NPI
1316675150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-08-10
Last Update Date
2022-10-18
Business Address
NIDEO FOSTER DPT, PT
3731 W COOK RD
FORT WAYNE, IN 46818-9662
Phone number: 260-215-4490
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Mailing Address
NIDEO FOSTER DPT, PT
4939 WISTERIA LN
FORT WAYNE, IN 46804-1741
Phone number: 260-446-1630
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