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1881803799
MATTHEW DAVID TRICKER
INDIANAPOLIS, IN
NPI
1881803799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06002641)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Mr. MATTHEW DAVID TRICKER PTA
5506 E 16TH ST SUIT B10
INDIANAPOLIS, IN 46218-4935
Phone number: 317-355-5905
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Mailing Address
Mr. MATTHEW DAVID TRICKER PTA
9913 ELLSWORTH LN
AVON, IN 46123-8643
Phone number: 317-271-6638
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