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1750922514
KATELYN O'DANIEL
FORT WAYNE, IN
NPI
1750922514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05012564A)
Enumeration Date
2019-10-03
Last Update Date
2019-10-03
Business Address
KATELYN O'DANIEL
1010 W WASHINGTON CENTER RD
FORT WAYNE, IN 46825-4155
Phone number: 260-203-1582
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Mailing Address
KATELYN O'DANIEL
7015 DESDEMONA XING
FORT WAYNE, IN 46818-9243
Phone number: 785-787-0686
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