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1245577063
TY A CHILDERS
BLOOMINGTON, IN
NPI
1245577063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05010631A)
Enumeration Date
2013-01-14
Last Update Date
2024-02-09
Business Address
TY A CHILDERS PT
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401-8368
Phone number: 812-333-2663
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Mailing Address
TY A CHILDERS PT
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number:
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