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1912115940
STACY MATHIAS
MITCHELL, IN
NPI
1912115940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06003241A)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- STACY MATHIAS PTA
24 TEKE BURTON DR
MITCHELL, IN 47446-7360
Phone number: 812-849-2221
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Mailing Address
-- STACY MATHIAS PTA
612 1/2 SW 2ND STREET
LOOGOOTEE, IN 47553
Phone number:
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