MEGAN ELLEN ANTALIS

BLOOMINGTON, IN
NPI1740654136
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06005218A)
Enumeration Date2015-11-23
Last Update Date2015-11-23
Business Address
Mrs. MEGAN ELLEN ANTALIS
2770 S ADAMS ST
BLOOMINGTON, IN 47403-3242
Phone number: 812-323-4661
Mailing Address
Mrs. MEGAN ELLEN ANTALIS
3129 S RYAN PL
BLOOMINGTON, IN 47403-4378
Phone number: 419-234-7093