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1114205184
PATRICIA MONTGOMERY DANIEL
MAGNOLIA, AR
NPI
1114205184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA 2527)
Enumeration Date
2011-07-25
Last Update Date
2011-08-08
Business Address
-- PATRICIA MONTGOMERY DANIEL P.T.A.
2500 CHAFFIN LN
MAGNOLIA, AR 71753-4326
Phone number: 870-949-0535
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Mailing Address
-- PATRICIA MONTGOMERY DANIEL P.T.A.
2500 CHAFFIN LN
MAGNOLIA, AR 71753-4326
Phone number: 870-949-0535
Copy
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