SearchIndiana225200000X

Diana Keller, PTA

NPI 1932892148 · on the registry since 2023 · sole proprietor

Practice

Address
333 Glenmoor Dr
Fort Wayne, IN 46804
Phone
(260) 415-6658

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana