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1124162631
TIFFANY SMITH
BENTON, AR
NPI
1124162631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA1708)
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
Mrs. TIFFANY SMITH PTA
17706 I30 STE 3
BENTON, AR 72019-2930
Phone number: 501-315-4414
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Mailing Address
Mrs. TIFFANY SMITH PTA
17706 I30 STE 3
BENTON, AR 72019-2930
Phone number: 501-315-4414
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