NPI 1003940990

Lhyra Dawis Mayoralgo, PT

Practitioner Contractor Fort Wayne, IN

Practice location

Address: 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631
Phone: (260) 483-9081
Mailing address: 2734 Painted Desert Run, Fort Wayne, IN 46808-3560

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 05009021A (IN)

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Registry record

NPI: 1003940990
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Mar 2007
Record last updated: 19 Feb 2012

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.