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1003978206
AMY LYNN GRISSOM
SPRINGFIELD, TN
NPI
1003978206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN PTA835)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
MRS. AMY LYNN GRISSOM PTA
608 8TH AVE E
SPRINGFIELD, TN 37188
Phone number: 615-384-8453
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Mailing Address
MRS. AMY LYNN GRISSOM PTA
107 SPICER CT
WHITE HOUSE, TN 37188
Phone number: 615-672-8047
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