Search › Indiana › 2255A2300X
Joshua Stork, ATC, LAT, MBA
NPI 1942627963 · on the registry since 2014
Practice
- Address
- 3601 S Calhoun St
Fort Wayne, IN 46807 - Phone
- (260) 249-9534
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-03-02
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