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1043769151
MARK WADE
KNOXVILLE, TN
NPI
1043769151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 4545)
Enumeration Date
2016-09-30
Last Update Date
2016-09-30
Business Address
Mr. MARK WADE PTA
2120 HIGHLAND AVE
KNOXVILLE, TN 37916-1112
Phone number: 865-525-4131
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Mailing Address
Mr. MARK WADE PTA
2120 HIGHLAND AVE
KNOXVILLE, TN 37916-1112
Phone number: 865-525-4131
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