AUDREY FAWN SOFAIR

FORT WAYNE, IN
NPI1326139833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: IN  01082071A)
Additional Taxonomies2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine
(Licence: NY  194228)
Enumeration Date2006-09-28
Last Update Date2023-03-02
Business Address
Dr. AUDREY FAWN SOFAIR MD
11123 PARKVIEW PLAZA DR STE 201
FORT WAYNE, IN 46845-1707
Phone number: 260-425-5950
Mailing Address
Dr. AUDREY FAWN SOFAIR MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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