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1083852636
TIMOTHY E WADDELL
PADUCAH, KY
NPI
1083852636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A02100)
Enumeration Date
2009-02-04
Last Update Date
2009-02-04
Business Address
-- TIMOTHY E WADDELL PTA
5050B VILLAGE SQUARE DR
PADUCAH, KY 42001-9499
Phone number: 270-443-0681
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Mailing Address
-- TIMOTHY E WADDELL PTA
5050B VILLAGE SQUARE DR
PADUCAH, KY 42001-9499
Phone number: 270-443-0681
Copy
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