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1215676812
KATHERINE SUZANNE SHORT
ROGERS, AR
NPI
1215676812
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Former Name
KATHERINE SUZANNE SWANSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4700)
Enumeration Date
2022-06-01
Last Update Date
2022-06-01
Business Address
KATHERINE SUZANNE SHORT PTA
2510 W HUDSON RD
ROGERS, AR 72756-2072
Phone number: 479-936-1061
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Mailing Address
KATHERINE SUZANNE SHORT PTA
556 KENSINGTON
CAVE SPRINGS, AR 72718-5013
Phone number: 479-430-0350
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