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1003125139
MICHELE DIANE DEITZ
WASHINGTON, IN
NPI
1003125139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06000329A)
Enumeration Date
2010-10-07
Last Update Date
2010-10-07
Business Address
Mrs. MICHELE DIANE DEITZ PTA
2119 E NATIONAL HWY
WASHINGTON, IN 47501-4507
Phone number: 812-254-3301
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Mailing Address
Mrs. MICHELE DIANE DEITZ PTA
2800 S 125 E
WASHINGTON, IN 47501-7552
Phone number: 812-254-1826
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