EDMUND JOSEPH GERVAIS

FORT WAYNE, IN
NPI1790046456
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2012-05-30
Last Update Date2012-05-30
Business Address
Mr. EDMUND JOSEPH GERVAIS DPT
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551
Mailing Address
Mr. EDMUND JOSEPH GERVAIS DPT
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551