NPI 1073623948
Stephanie Eberhart
Practice location
- Address
- 5310 Merchandise Dr, Fort Wayne, IN 46825-5140
- Phone
- (260) 484-9491
- Mailing address
- 12523 Candleset Cv, Fort Wayne, IN 46818-8783
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1073623948
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Aug 2006
- Record last updated
- 8 Jul 2007
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.