| Doctor Name: | STEPHANIE R BANDY |
| NPI Number: | 1366606691 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT, ATC |
| License Number: | 05009611A |
| Business Practice Address: | 5750 Coventry Ln Suite 101 Fort Wayne, IN - 468047166 |
| Business Phone Number: | 2604369337 |
| Business Fax Number: | 2604369626 |
| Mailing Address: | 729 Villa Park Ct, FORT WAYNE |
| State: | IN |
| Postal Code: | 468081540 |
| Phone Number: | 3098255259 |
| Fax Number: | |
| NPI Enumeration Date: | 07/16/2008 |
| NPI Last Update Date: | 12/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 05009611A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |