JONATHAN O SALES

LAFAYETTE, IN
NPI1962591255
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06001921A)
Enumeration Date2006-10-12
Last Update Date2010-05-10
Business Address
-- JONATHAN O SALES PTA
2601 FERRY ST
LAFAYETTE, IN 47904-3061
Phone number: 765-448-8000
Mailing Address
-- JONATHAN O SALES PTA
PO BOX 5545
LAFAYETTE, IN 47903-5545
Phone number: 765-448-8000