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1770992505
DIANNE B MCINTOSH
FORT WAYNE, IN
NPI
1770992505
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Former Name
DIANNE ELIZABETH BOLTZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05000896A)
Enumeration Date
2014-08-06
Last Update Date
2014-08-06
Business Address
Ms. DIANNE B MCINTOSH PT
11104 PARKVIEW CIRCLE DR SUITE 050
FORT WAYNE, IN 46845
Phone number: 260-266-4080
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Mailing Address
Ms. DIANNE B MCINTOSH PT
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Phone number: 260-266-4080
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