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1023547007
KATHLEEN SIDES
FORT WORTH, TX
NPI
1023547007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2114731)
Enumeration Date
2017-06-05
Last Update Date
2017-06-05
Business Address
KATHLEEN SIDES
1000 SAINT LOUIS AVE STE 102
FORT WORTH, TX 76104-3377
Phone number: 817-921-5020
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Mailing Address
KATHLEEN SIDES
1000 SAINT LOUIS AVE STE 102
FORT WORTH, TX 76104-3377
Phone number: 817-921-5020
Copy
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