Joshua Nirmal Prasan Sudharsana Doss PT

NPI 1053662080 - Physical Therapist - 225100000X

NPI Details
NPI 1053662080
Gender Male
Enumeration Date 10/01/2012
Last Updated 10/01/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
4407 COVENTRY PKWY
FORT WAYNE IN, 46804-7105, US
Phone (765) 506-3639
Fax
Business Location
4407 COVENTRY PKWY
FORT WAYNE IN, 46804-7105, US
Phone (765) 506-3639
Fax
Toxanomy
Taxonomy Code 225100000X
License State Indiana
License Number 05009844A
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According to our database, Mr. Joshua Nirmal Prasan Sudharsana Doss PT NPI is 1053662080, taxonomy code is 225100000X and license number is 05009844A, license state is located at Indiana. Joshua Nirmal Prasan Sudharsana Doss PT physically located at 4407 Coventry Pkwy, Fort Wayne IN, 46804-7105. NPI Number Joshua Nirmal Prasan Sudharsana Doss PT has the Individual type.

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1053662080 NPI number is provided on an as is basis without warranty of any kind. 1053662080 is maintained by the National Plan & Provider Enumeration System. The contents of Joshua Nirmal Prasan Sudharsana Doss PT are for informational purposes only.