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1528662756
ANTHONY JOSEPH MODICA
LOUISVILLE, KY
NPI
1528662756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MA 9797)
Enumeration Date
2020-11-29
Last Update Date
2020-11-29
Business Address
Mr. ANTHONY JOSEPH MODICA PTA
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 108-335-1060
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Mailing Address
Mr. ANTHONY JOSEPH MODICA PTA
63 CHAMBERLAIN RD
UXBRIDGE, MA 01569-1669
Phone number: 508-272-4146
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