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1477008118
HALEY BRANDT
FORT WAYNE, IN
NPI
1477008118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05012125A)
Enumeration Date
2016-08-23
Last Update Date
2016-08-23
Business Address
-- HALEY BRANDT
3320 N CLINTON ST
FORT WAYNE, IN 46805-1918
Phone number: 260-483-2100
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Mailing Address
-- HALEY BRANDT
3320 N CLINTON ST
FORT WAYNE, IN 46805-1918
Phone number:
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PROTAILORED PHYSICAL THERAPY LLC