Tanya Fondekar

NPI #1679934764 in Peru, Indiana

Provider Information

NPI Number: 1679934764
Entity Type: Individual
Name: Tanya Fondekar
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Mar 16, 2016
Last Updated: Mar 16, 2016

Practice Location

Address: 275 W 12TH ST
Address 2: 4 WEST
City: Peru
State: Indiana
ZIP Code: 46970-1638
Phone: (765) 475-2160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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