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1114067139
MATTHEW NEAL SIDES
LAWRENCEBURG, TN
NPI
1114067139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 3705)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
-- MATTHEW NEAL SIDES
2366 SPRINGER ROAD
LAWRENCEBURG, TN 38464
Phone number: 931-766-6677
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Mailing Address
-- MATTHEW NEAL SIDES
606 HERB DRIVE
LAWRENCEBURG, TN 38464
Phone number: 931-629-0936
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