ANTHONY JOSEPH MODICA

LOUISVILLE, KY
NPI1528662756
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MA  9797)
Enumeration Date2020-11-29
Last Update Date2020-11-29
Business Address
Mr. ANTHONY JOSEPH MODICA PTA
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 108-335-1060
Mailing Address
Mr. ANTHONY JOSEPH MODICA PTA
63 CHAMBERLAIN RD
UXBRIDGE, MA 01569-1669
Phone number: 508-272-4146
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