TRACY DAWN WHITELEATHER

FORT WAYNE, IN
NPI1649289299
Former NameTRACY DAWN BEASEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05006313A)
Enumeration Date2006-08-05
Last Update Date2011-09-21
Business Address
-- TRACY DAWN WHITELEATHER PT
3217 LAKE AVE
FORT WAYNE, IN 46805-5427
Phone number: 260-420-4400
Mailing Address
-- TRACY DAWN WHITELEATHER PT
PO BOX 350034
TOLEDO, OH 43635-0034
Phone number: 260-420-4400
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