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1255600516
TRAVIS WOOD
SALEM, IN
NPI
1255600516
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06004374A)
Enumeration Date
2011-12-15
Last Update Date
2011-12-15
Business Address
Mr. TRAVIS WOOD PTA
900 ANSON ST
SALEM, IN 47167-1982
Phone number: 812-883-4681
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Mailing Address
Mr. TRAVIS WOOD PTA
9458 RAVEN LN
BLUE ASH, OH 45242-6749
Phone number:
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