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1356091946
ACTIVE PHYSICAL THERAPY AND WELLNESS LLC
FORT WAYNE, IN
NPI
1356091946
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Entity Type
Organization
Authorized Contact
SUMAN PANDAY
Sole Member
574-377-8779
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-03-25
Last Update Date
2022-03-25
Business Address
ACTIVE PHYSICAL THERAPY AND WELLNESS LLC
1344 JACOBS DR
FORT WAYNE, IN 46814-8745
Phone number: 574-377-8779
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Mailing Address
ACTIVE PHYSICAL THERAPY AND WELLNESS LLC
1344 JACOBS DR
FORT WAYNE, IN 46814-8745
Phone number: 574-377-8779
Copy
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