NPI 1033376413

A Step Ahead Therapies, LLC

Organisation Specialist Fort Wayne, IN

Practice location

Address: 6013 Belle Isle Ln, Fort Wayne, IN 46835-1263
Phone: (260) 414-4584
Fax: (260) 492-6420

Authorised official

Name: Kgatale S Malatse
Title: Manager
Phone: (260) 414-4584

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 31001450A (IN)

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Registry record

NPI: 1033376413
Entity type: Organization
NPI issued: 21 May 2008
Record last updated: 21 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.