BRENDA A PALM

FORT WAYNE, IN
NPI1497854467
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: IN  31003508A)
Enumeration Date2006-09-22
Last Update Date2007-07-08
Business Address
Mrs. BRENDA A PALM OTR
10305 DAWSONS CREEK BLVD STE F
FORT WAYNE, IN 46825-1914
Phone number: 260-497-0328
Mailing Address
Mrs. BRENDA A PALM OTR
10305 DAWSONS CREEK BLVD STE F
FORT WAYNE, IN 46825-1914
Phone number: 260-497-0328