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1790984698
ERIN PHILLIPS
PORTAGE, IN
NPI
1790984698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06002330A)
Enumeration Date
2007-07-12
Last Update Date
2007-07-12
Business Address
-- ERIN PHILLIPS PTA
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
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Mailing Address
-- ERIN PHILLIPS PTA
802 KATHLEEN ST
KOUTS, IN 46347-9562
Phone number: 219-766-3266
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