GRACE LENCKE

FORT WAYNE, IN
NPI1457746893
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06004276A)
Enumeration Date2015-04-02
Last Update Date2015-04-02
Business Address
-- GRACE LENCKE PTA
1717 MAPLECREST RD
FORT WAYNE, IN 46815-7656
Phone number: 877-712-7869
Mailing Address
-- GRACE LENCKE PTA
5308 RENFREW DR
FORT WAYNE, IN 46835-1137
Phone number:
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