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1043633977
CHARLES MAITLAND
GLENDALE, AZ
NPI
1043633977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 10731APTA)
Enumeration Date
2014-01-29
Last Update Date
2014-01-29
Business Address
-- CHARLES MAITLAND PTA
20325 N 51ST AVE SUITE 160
GLENDALE, AZ 85308-5674
Phone number: 623-466-6350
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Mailing Address
-- CHARLES MAITLAND PTA
20325 N 51ST AVE SUITE 160
GLENDALE, AZ 85308-5674
Phone number: 623-466-6350
Copy
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