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1144649757
SHAD EARICK
LOUISVILLE, KY
NPI
1144649757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA.09082)
Enumeration Date
2014-04-10
Last Update Date
2014-04-10
Business Address
-- SHAD EARICK PTA
303 N HURSTBOURNE PKWY 200
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
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Mailing Address
-- SHAD EARICK PTA
402 MARKS DR
COVINGTON, OH 45318-1731
Phone number: 937-570-8357
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