ERIC GATEWOOD

CHESTERTON, IN
NPI1437518107
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06002181A)
Enumeration Date2016-02-23
Last Update Date2016-02-23
Business Address
-- ERIC GATEWOOD PTA
601 GATEWAY BLVD N
CHESTERTON, IN 46304-9658
Phone number: 219-921-1444
Mailing Address
-- ERIC GATEWOOD PTA
8259 WICKER AVE
SAINT JOHN, IN 46373-8878
Phone number: 219-365-6560
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