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1174770002
JOHN LEADER SELWITZ
DYERSBURG, TN
NPI
1174770002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN PTA3447)
Enumeration Date
2008-08-21
Last Update Date
2008-08-21
Business Address
-- JOHN LEADER SELWITZ PTA
1900 PARR AVE
DYERSBURG, TN 38024-2009
Phone number: 731-286-1221
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Mailing Address
-- JOHN LEADER SELWITZ PTA
329 PATE AVE
DYERSBURG, TN 38024-4022
Phone number:
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