NPI 1013464122

Elaine Coleman Prouty

Practitioner Pediatric Physical Therapist Fort Wayne, IN

Practice location

Address: 9426 Lima Rd, Fort Wayne, IN 46818-8680
Phone: (260) 497-0328

Registered specialties

Pediatric Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251P0200X Licence 05012263A (IN)

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Registry record

NPI: 1013464122
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2016
Record last updated: 7 Sep 2016

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.