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Contact Information

HEATHER D CHRISTLIEB, PT
312 E DUPONT RD
SUITE 101
FORT WAYNE, IN46825
 Phone: 260-483-1010
 Fax: 260-483-1011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for HEATHER D CHRISTLIEB · (Female)

NPI Number 1508962028
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 09/15/2006
Last updated 08/23/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 05007314A
  • IN Other 000000536911 ANTHEM PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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