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1144667767
SAMUEL ZACHARY BIRDWELL
COOKEVILLE, TN
NPI
1144667767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 4574)
Enumeration Date
2013-05-23
Last Update Date
2013-05-23
Business Address
-- SAMUEL ZACHARY BIRDWELL PTA
815 S WALNUT AVE
COOKEVILLE, TN 38501-5956
Phone number: 931-528-5516
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Mailing Address
-- SAMUEL ZACHARY BIRDWELL PTA
815 S WALNUT AVE
COOKEVILLE, TN 38501-5956
Phone number: 931-528-5516
Copy
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