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1184107708
AMANDA NICHOLE BIRDSALL
DALLAS, TX
NPI
1184107708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2127683)
Enumeration Date
2018-09-10
Last Update Date
2018-09-10
Business Address
AMANDA NICHOLE BIRDSALL
4200 LIVE OAK ST
DALLAS, TX 75204-6733
Phone number: 214-515-6131
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Mailing Address
AMANDA NICHOLE BIRDSALL
5208 FORT BUCKNER DR
MCKINNEY, TX 75070-7043
Phone number: 469-463-6184
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