Individual provider · Type 1 NPI

Kay Ann Azar, BS-PT, MA

Pediatric Physical Therapist · South Bend, IN

NPI number 1356415202 Active

Practice location

100 Navarre Pl, Suite 6650
South Bend, IN 46601-1156

Call (574) 647-3158 Map

Fax (574) 647-1351

Mailing address

328 N Michigan St, Suit 200
South Bend, IN 46601-1244

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X05000664A (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 1356415202

Kay Ann Azar, BS-PT, MA's National Provider Identifier is 1356415202, issued on Nov 20, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in South Bend, IN. The record was last updated on Jul 8, 2007.