KELLY L MAUCH

FORT WAYNE, IN
NPI1699047266
Former NameKELLY L BREHM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05001649A)
Enumeration Date2012-01-30
Last Update Date2012-01-30
Business Address
-- KELLY L MAUCH PT
5800 FAIRFIELD AVE STE 150
FORT WAYNE, IN 46807-3450
Phone number: 260-744-5585
Mailing Address
-- KELLY L MAUCH PT
5800 FAIRFIELD AVE STE 150
FORT WAYNE, IN 46807-3450
Phone number: 260-744-5585
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