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1013116904
PATRICIA A MOWBRAY
PORTAGE, IN
NPI
1013116904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06002550A)
Enumeration Date
2007-07-12
Last Update Date
2007-07-12
Business Address
PATRICIA A MOWBRAY PTA
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
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Mailing Address
PATRICIA A MOWBRAY PTA
3901 LIBERTY DR
VALPARAISO, IN 46383-8336
Phone number: 219-510-5588
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