OrganizationActive
Pediatric Links,llc
NPI 1720370794 · Developmental Disabilities Clinic/Center · Fort Wayne, IN
Provider details
- NPI number
- 1720370794
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Agnes Vigilia-Maraya, Administrator/Owner/Practitioner(260) 418-8051
- License
- PT05002613A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7317 W Jefferson Blvd
Fort Wayne, IN 46804-6237
Phone: (260) 418-8051
Fax: (260) 489-3704
Approximate (ZIP-level) locationGet directions
Mailing address
7317 W Jefferson Blvd
Fort Wayne, IN 46804-6237
Registry dates
- Enumerated
- 2011-05-10
- Last updated
- 2011-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.