BLAKE BAUMAN

FORT WAYNE, IN
NPI1710875208
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05015983A)
Enumeration Date2025-06-25
Last Update Date2025-06-25
Business Address
BLAKE BAUMAN
9039 STELLHORN CROSSING PARKWAY
FORT WAYNE, IN 46815
Phone number: 260-489-9727
Mailing Address
BLAKE BAUMAN
5483 COVENTRY LN APT 202
FORT WAYNE, IN 46804-7182
Phone number: