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Emanuel Boar, PT
NPI 1972165272 · on the registry since 2019
Practice
- Address
- 3630 Illinois Rd
Fort Wayne, IN 46804 - Phone
- (260) 255-6494
- Fax
- (260) 399-2075
- Organisation at this address
- Advanced Therapy And Performance Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana