RICHARD JOSEPH MIOTKE

LAFAYETTE, IN
NPI1851350631
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06002632A)
Enumeration Date2006-03-21
Last Update Date2010-05-10
Business Address
-- RICHARD JOSEPH MIOTKE PTA
2601 FERRY ST
LAFAYETTE, IN 47904-3061
Phone number: 765-448-8000
Mailing Address
-- RICHARD JOSEPH MIOTKE PTA
PO BOX 5545
LAFAYETTE, IN 47903-5545
Phone number: 765-448-8000
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