DEREK MUMAW

FORT WAYNE, IN
NPI1396350344
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05013923A)
Enumeration Date2020-09-15
Last Update Date2020-09-15
Business Address
DEREK MUMAW DPT
8420 ILLINOIS RD
FORT WAYNE, IN 46804
Phone number: 260-969-8992
Mailing Address
DEREK MUMAW DPT
4251 LAHMEYER RD
FORT WAYNE, IN 46815-5676
Phone number: 260-432-4700