Mr Emmanuel Requena Sr, | |
20 John Kissinger Dr, Wabash, IN 46992-1648 | |
(260) 274-0868 | |
Not Available |
Full Name | Mr Emmanuel Requena Sr |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 20 John Kissinger Dr, Wabash, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861893745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 06004053A (Indiana) | Primary |
Mailing Address | Practice Location Address |
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Mr Emmanuel Requena Sr, 9219 Barbara Ln, Fort Wayne, IN 46804-4702 Ph: (260) 579-1748 | Mr Emmanuel Requena Sr, 20 John Kissinger Dr, Wabash, IN 46992-1648 Ph: (260) 274-0868 |
Mrs. Patricia Ann Plummer, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 Parkway Dr, Wabash, IN 46992 Phone: 260-563-5037 Fax: 260-563-5037 | |
Mr. David Fulkerson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6613 W 550 N, Wabash, IN 46992 Phone: 765-833-2178 Fax: 765-833-2178 |