PHILIP TIMOTHY BOOR

ANDERSON, IN
NPI1023593548
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2018-10-01
Last Update Date2018-10-01
Business Address
PHILIP TIMOTHY BOOR
1100 E 5TH ST
ANDERSON, IN 46012-3462
Phone number: 812-605-8399
Mailing Address
PHILIP TIMOTHY BOOR
507 COTTAGE AVE
ANDERSON, IN 46012-3436
Phone number: 812-605-8399