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NPI Code Detail

MEDICARE: LORA GARGARITA

MEDICARE: LORA GARGARITA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist05007814AIN

General Provider Information

NPI Number : 1386038297
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORA GARGARITA
Provider Business Mailing Address
First Line : 1010 W WASHINGTON CENTER RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-4155
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1010 W WASHINGTON CENTER RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-4155
Country : US
Telephone Number : 260-489-2552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2015
Last Update Date : 03/28/2015

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Directions to “ LORA GARGARITA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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