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1730694779
BRIAN THOMAS KREAGER
FORT WAYNE, IN
NPI
1730694779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06004475A)
Enumeration Date
2017-12-13
Last Update Date
2017-12-13
Business Address
BRIAN THOMAS KREAGER PTA
1717 MAPLECREST RD
FORT WAYNE, IN 46815-7656
Phone number: 260-493-0012
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Mailing Address
BRIAN THOMAS KREAGER PTA
7433 ANTEBELLUM DR
FORT WAYNE, IN 46815-6568
Phone number: 260-749-1468
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