AGNES LUCAS VIGILIA-MARAYA

FORT WAYNE, IN
NPI1376760264
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: IN  PT05002613A)
Enumeration Date2007-04-20
Last Update Date2007-07-09
Business Address
-- AGNES LUCAS VIGILIA-MARAYA Physical Therapist
8110 NORTHBURY DR
FORT WAYNE, IN 46818-1843
Phone number: 260-489-3704
Mailing Address
-- AGNES LUCAS VIGILIA-MARAYA Physical Therapist
8110 NORTHBURY DR
FORT WAYNE, IN 46818-1843
Phone number: 260-489-3704