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1891261053
ERICA M ANTIC
CAMBY, IN
NPI
1891261053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06005826A)
Enumeration Date
2018-10-15
Last Update Date
2018-10-15
Business Address
ERICA M ANTIC PTA
10799 ALLIANCE DR
CAMBY, IN 46113-8909
Phone number: 317-218-9715
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Mailing Address
ERICA M ANTIC PTA
730 SPRINGMILL DR
MOORESVILLE, IN 46158-2704
Phone number: 317-727-1114
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