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1003354036
BRIAN MEADOW
DICKSON, TN
NPI
1003354036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 0000006194)
Enumeration Date
2017-02-09
Last Update Date
2017-02-10
Business Address
-- BRIAN MEADOW PTA
812 N CHARLOTTE ST
DICKSON, TN 37055-1009
Phone number: 615-446-8046
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Mailing Address
-- BRIAN MEADOW PTA
105 JONES CREEK RD H4
DICKSON, TN 37055-1478
Phone number: 931-237-1165
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