Chad Distelrath
Chad Distelrath is a Physical Therapy Assistant in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2013.
- Licensed in
- IN
- In the registry since
- 2013
Practice location Address checks out
1717 Maplecrest Rd Apt 112Fort Wayne, IN 46815
Phone: (260) 493-0012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 06002033A (IN) |
|---|
Record details
| NPI number | 1962823138 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 13, 2013 |
| Last updated in NPPES | December 13, 2013 |
| Mailing address | 3825 Meter Drive, Fort Wayne, IN 46806 |
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