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1023232642
AMANDA L DALE
CANTON, OH
NPI
1023232642
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Former Name
AMANDA L WELLMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA-05671)
Enumeration Date
2007-04-13
Last Update Date
2007-07-08
Business Address
Mrs. AMANDA L DALE PTA
4645 BELPAR ST NW
CANTON, OH 44718-3602
Phone number: 330-493-4210
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Mailing Address
Mrs. AMANDA L DALE PTA
4645 BELPAR ST NW
CANTON, OH 44718-3602
Phone number: 330-493-4210
Copy
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