Individual
MR. ANTHONY JOSEPH MODICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(108) 335-1060
Mailing address
63 CHAMBERLAIN RD, UXBRIDGE, MA 01569-1669
(508) 272-4146
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9797
MA
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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