JOSHUA EGGLESTON

PORTAGE, IN
NPI1699134874
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06003593A)
Enumeration Date2016-02-17
Last Update Date2016-02-17
Business Address
-- JOSHUA EGGLESTON PTA
3691 WILLOWCREEK RD SUITE 100
PORTAGE, IN 46368-5076
Phone number: 219-759-4380
Mailing Address
-- JOSHUA EGGLESTON PTA
8259 WICKER AVE
SAINT JOHN, IN 46373-8878
Phone number: 219-365-6560
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