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Nicole Houser

Physical Therapy Assistant in Fort Wayne, IN. Individual provider (NPI-1).

NPI number1528362134
StatusActive
Last updated in NPPESDec 23, 2010

Details

NPI
1528362134
Entity type
Individual (NPI-1)
Name
Nicole Houser
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 23, 2010
Last updated
Dec 23, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant06003816AINYes

Practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Phone 180-036-0838 · Fax 260-421-1821

Mailing address

2121 Lake Ave
Fort Wayne, IN 46805-5100

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