Pediatric Links,llc
NPI #1720370794 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1720370794
- Entity Type
- Organization
- Organization Name
- Pediatric Links,llc
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- May 10, 2011
- Last Updated
- May 10, 2011
Practice Location
- Address
- 7317 W JEFFERSON BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-6237
- Phone
- (260) 418-8051
Authorized Official
- Name
- AGNES LUCAS VIGILIA-MARAYA, P.T.
- Title
- ADMINISTRATOR/OWNER/PRACTITIONER
- Phone
- (260) 418-8051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Pediatrics — Pediatrics |
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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