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1093096067
CHRISTINA DIECKHOFF
MOUNTAIN HOME, AR
NPI
1093096067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 1914)
Enumeration Date
2011-09-06
Last Update Date
2011-09-06
Business Address
-- CHRISTINA DIECKHOFF PTA
1310 BRADLEY DR
MOUNTAIN HOME, AR 72653-2730
Phone number: 870-424-4021
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Mailing Address
-- CHRISTINA DIECKHOFF PTA
109 REDBUD ST
MOUNTAIN HOME, AR 72653-3703
Phone number: 870-489-0598
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