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1164949236
EMILY THACKER
PORT ORANGE, FL
NPI
1164949236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60568817)
Enumeration Date
2017-08-29
Last Update Date
2017-08-29
Business Address
EMILY THACKER
5535 S WILLIAMSON BLVD
PORT ORANGE, FL 32128-8311
Phone number: 888-265-2680
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Mailing Address
EMILY THACKER
826 NE ROSELAWN ST
PORTLAND, OR 97211-3833
Phone number:
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