CRYSTAL M BOURCIER

FORT WAYNE, IN
NPI1356532667
Former NameCRYSTAL M OBRECHT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05009304A)
Enumeration Date2007-08-05
Last Update Date2020-12-17
Business Address
CRYSTAL M BOURCIER DPT
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN 46845-1728
Phone number: 260-266-7400
Mailing Address
CRYSTAL M BOURCIER DPT
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: 260-432-4700