Individual
ERICA M ANTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10799 ALLIANCE DR, CAMBY, IN 46113-8909
(317) 218-9715
Mailing address
730 SPRINGMILL DR, MOORESVILLE, IN 46158-2704
(317) 727-1114
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005826A
IN
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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