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1205909140
THOMAS JAY MAYSTADT
TEMPE, AZ
NPI
1205909140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 6641A)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
-- THOMAS JAY MAYSTADT PTA, ATC
1025 E BROADWAY RD STE. 100
TEMPE, AZ 85282-1599
Phone number: 480-829-0217
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Mailing Address
-- THOMAS JAY MAYSTADT PTA, ATC
1025 E BROADWAY RD
TEMPE, AZ 85282-1599
Phone number: 480-829-0217
Copy
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