TERRY PANTIG

SOUTH BEND, IN
NPI1225235583
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06002163A)
Enumeration Date2007-06-29
Last Update Date2007-07-08
Business Address
-- TERRY PANTIG PTA
1950 RIDGEDALE RD
SOUTH BEND, IN 46614-2243
Phone number: 574-291-6722
Mailing Address
-- TERRY PANTIG PTA
19167 GLENDALE AVE
SOUTH BEND, IN 46637-2706
Phone number:
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