CANDICE MARIE GREATHOUSE

MISHAWAKA, IN
NPI1093272114
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06003651A)
Enumeration Date2019-02-25
Last Update Date2019-02-25
Business Address
CANDICE MARIE GREATHOUSE
3630 HICKORY ROAD
MISHAWAKA, IN 46545
Phone number: 574-252-7225
Mailing Address
CANDICE MARIE GREATHOUSE
29272 OLD US 20
ELKHART, IN 46514-9464
Phone number: 574-220-0987
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