EMANUEL LUCIAN BOAR

FORT WAYNE, IN
NPI1972165272
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  99094140A)
Enumeration Date2019-07-08
Last Update Date2023-08-18
Business Address
EMANUEL LUCIAN BOAR PT
3630 ILLINOIS RD
FORT WAYNE, IN 46804-2062
Phone number: 260-255-6494
Mailing Address
EMANUEL LUCIAN BOAR PT
3630 ILLINOIS RD
FORT WAYNE, IN 46804-2062
Phone number: 260-255-6494
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