ERIC DANIEL BREISCH

KOKOMO, IN
NPI1891950309
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06002365A)
Enumeration Date2008-07-23
Last Update Date2008-07-23
Business Address
-- ERIC DANIEL BREISCH
2800 S DIXON RD
KOKOMO, IN 46902-6403
Phone number: 765-455-1111
Mailing Address
-- ERIC DANIEL BREISCH
4843 N PARKWAY
KOKOMO, IN 46901-3940
Phone number: 765-452-1138