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1104285451
TEGAN WALTERS
CANON CITY, CO
NPI
1104285451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA0013440)
Enumeration Date
2016-02-15
Last Update Date
2016-02-15
Business Address
-- TEGAN WALTERS PTA
722 S 8TH ST
CANON CITY, CO 81212-4906
Phone number: 719-345-4097
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Mailing Address
-- TEGAN WALTERS PTA
722 S 8TH ST
CANON CITY, CO 81212-4906
Phone number: 719-345-4097
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