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1336382209
SCOTT TREVINO
GOSHEN, IN
NPI
1336382209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06003409A)
Enumeration Date
2009-04-08
Last Update Date
2009-04-20
Business Address
-- SCOTT TREVINO PTA
1332 WATERFORD XING CIR
GOSHEN, IN 46526-6009
Phone number: 574-534-3920
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Mailing Address
-- SCOTT TREVINO PTA
1650 LYNDON FARM CT SUITEM201
LOUISVILLE, KY 40223-5002
Phone number: 502-412-5847
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