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1215111034
TABITHA F HALLAM
FAYETTEVILLE, AR
NPI
1215111034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA2209)
Enumeration Date
2007-12-28
Last Update Date
2007-12-28
Business Address
-- TABITHA F HALLAM PTA
2474 E JOYCE BLVD SUITE 2
FAYETTEVILLE, AR 72703-4519
Phone number: 479-521-8326
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Mailing Address
-- TABITHA F HALLAM PTA
2474 E JOYCE BLVD SUITE 2
FAYETTEVILLE, AR 72703-4519
Phone number: 479-521-8326
Copy
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