EARL BRADEN GARD

WINCHESTER, IN
NPI1295854156
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06000006A)
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
-- EARL BRADEN GARD PTA
409 E GREENVILLE AVE STE 200
WINCHESTER, IN 47394-9436
Phone number: 765-747-3013
Mailing Address
-- EARL BRADEN GARD PTA
3813 S MADISON ST
MUNCIE, IN 47302-5758
Phone number: