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1144567140
TIM JOE YOUNG
FORT SMITH, AR
NPI
1144567140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK okpta763)
Enumeration Date
2013-01-10
Last Update Date
2013-01-10
Business Address
Mr. TIM JOE YOUNG pta
8520 S 36TH TER
FORT SMITH, AR 72908-8880
Phone number: 479-410-1740
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Mailing Address
Mr. TIM JOE YOUNG pta
34676 COOPER RD
POTEAU, OK 74953-9001
Phone number: 918-413-1295
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