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1922591403
MATTHEW M PENNUCCI
FORT WAYNE, IN
NPI
1922591403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05012923A)
Enumeration Date
2018-06-11
Last Update Date
2018-06-11
Business Address
MATTHEW M PENNUCCI DPT
4251 LAHMEYER RD
FORT WAYNE, IN 46815-5676
Phone number: 260-482-7800
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Mailing Address
MATTHEW M PENNUCCI DPT
4251 LAHMEYER RD
FORT WAYNE, IN 46815-5676
Phone number:
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