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1053626051
TALIAH KATHLEEN DICKINSON
KENNEWICK, WA
NPI
1053626051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P160935519)
Enumeration Date
2010-08-13
Last Update Date
2020-01-16
Business Address
TALIAH KATHLEEN DICKINSON PTA
524 N ELY ST
KENNEWICK, WA 99336-2576
Phone number: 855-840-7257
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Mailing Address
TALIAH KATHLEEN DICKINSON PTA
112 N MAYFIELD ST
KENNEWICK, WA 99336-3331
Phone number: 509-586-9451
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