Susan Kirk

NPI #1124503651 in Fort Wayne, Indiana

Provider Information

NPI Number: 1124503651
Entity Type: Individual
Name: Susan Kirk
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Oct 1, 2018
Last Updated: Oct 1, 2018

Practice Location

Address: 4935 HILLEGAS RD STE 200
City: Fort Wayne
State: Indiana
ZIP Code: 46818-1934
Phone: (260) 338-1241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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