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1093042418
MICHANNE SMIDDY
EVANSVILLE, IN
NPI
1093042418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06003956A)
Enumeration Date
2009-11-05
Last Update Date
2009-11-05
Business Address
-- MICHANNE SMIDDY PTA
3701 WASHINGTON AVE
EVANSVILLE, IN 47714-0544
Phone number: 812-476-3360
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Mailing Address
-- MICHANNE SMIDDY PTA
8422 OAK ST
NEWBURGH, IN 47630-8901
Phone number: 812-454-2949
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