Individual provider · Type 1 NPI

Elaine Coleman Prouty

Pediatric Physical Therapist · Fort Wayne, IN

NPI number 1013464122 Active

Practice location

9426 Lima Rd
Fort Wayne, IN 46818-8680

Call (260) 497-0328 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X05012263A (IN)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1013464122

Elaine Coleman Prouty's National Provider Identifier is 1013464122, issued on Sep 7, 2016. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 7, 2016.