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1104221183
LEILA FORTENBERRY PHILLIPS
FLORENCE, AL
NPI
1104221183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA6608)
Enumeration Date
2014-11-03
Last Update Date
2014-11-03
Business Address
Mrs. LEILA FORTENBERRY PHILLIPS PTA
211 ANA DR
FLORENCE, AL 35630-1768
Phone number: 256-766-8963
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Mailing Address
Mrs. LEILA FORTENBERRY PHILLIPS PTA
96 COLONIAL DR
FLORENCE, AL 35633-1444
Phone number: 601-549-4209
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