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1164750881
LEROY TALBERT ALTMAN
CHATTANOOGA, TN
NPI
1164750881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 405449)
Enumeration Date
2009-11-19
Last Update Date
2009-11-19
Business Address
Mr. LEROY TALBERT ALTMAN L/COTA
615 DERBY ST
CHATTANOOGA, TN 37404-1632
Phone number: 423-629-1451
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Mailing Address
Mr. LEROY TALBERT ALTMAN L/COTA
615 DERBY ST
CHATTANOOGA, TN 37404-1632
Phone number: 423-629-1451
Copy
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