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1265704019
DARIA SCOTT
SOUTH BEND, IN
NPI
1265704019
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Former Name
DARIA BRADLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06002183a)
Enumeration Date
2012-02-08
Last Update Date
2012-02-08
Business Address
-- DARIA SCOTT PTA
2401 OAKBROOK DR
SOUTH BEND, IN 46628-3495
Phone number: 574-904-5155
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Mailing Address
-- DARIA SCOTT PTA
2401 OAKBROOK DRIVE
SOUTH BEND, IN 46628
Phone number: 574-904-5155
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