Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 05004533A | IN |
NPI | 1346861994 |
---|---|
Provider Name | Ms. Meriam Singson |
First Address | Fort Wayne, IN 46804-7333 |
Second Address | Fort Wayne, IN 46804-7333 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2020 |
Last Update Date | 05/05/2020 |