Individual
PAIGE ELIZABETH PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3001 S CREASY LN STE B, LAFAYETTE, IN 47905-5206
(765) 423-6885
Mailing address
2533 MAR RUTH DR, LAFAYETTE, IN 47905-7809
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013827A
IN
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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