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1205127495
RYAN PAUL RICHARDSON
CROSSVILLE, TN
NPI
1205127495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN PTA2676)
Enumeration Date
2011-04-22
Last Update Date
2011-04-22
Business Address
-- RYAN PAUL RICHARDSON PTA
115 CUMBERLAND PLZ
CROSSVILLE, TN 38555-4292
Phone number: 931-787-1244
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Mailing Address
-- RYAN PAUL RICHARDSON PTA
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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