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1164895439
TYLER WOODCOCK
JEFFERSON CITY, MO
NPI
1164895439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2015-11-08
Last Update Date
2015-11-08
Business Address
-- TYLER WOODCOCK PTA
1739 ELM CT SUITE 205
JEFFERSON CITY, MO 65101-4303
Phone number: 573-681-0447
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Mailing Address
-- TYLER WOODCOCK PTA
9 CLINKSCALES RD # A
COLUMBIA, MO 65203-1113
Phone number: 573-356-4071
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