Peter A Paonessa P.T.

NPI 1013910934 - Physical Therapist - 225100000X

NPI Details
NPI 1013910934
Gender Male
Enumeration Date 05/24/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
7601 W JEFFERSON BLVD
FORT WAYNE IN, 46804-4133, US
Phone (260) 436-8686
Fax (260) 432-5075
Business Location
7601 W JEFFERSON BLVD
FORT WAYNE IN, 46804-4133, US
Phone (260) 436-8686
Fax (260) 432-5075
Toxanomy
Taxonomy Code 225100000X
License State Indiana
License Number 05000862A
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According to our database, Peter A Paonessa P.T. NPI is 1013910934, taxonomy code is 225100000X and license number is 05000862A, license state is located at Indiana. Peter A Paonessa P.T. physically located at 7601 W Jefferson Blvd, Fort Wayne IN, 46804-4133. NPI Number Peter A Paonessa P.T. has the Individual type.

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1013910934 NPI number is provided on an as is basis without warranty of any kind. 1013910934 is maintained by the National Plan & Provider Enumeration System. The contents of Peter A Paonessa P.T. are for informational purposes only.