Individual
JOSHUA EGGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3691 WILLOWCREEK RD, SUITE 100, PORTAGE, IN 46368-5076
(219) 759-4380
(219) 759-1989
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(219) 365-6560
(219) 365-6561
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003593A
IN
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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