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1235821679
MALLORY BOACKLE TASSEFF
HOOVER, AL
NPI
1235821679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH8787)
Enumeration Date
2023-05-24
Last Update Date
2023-05-24
Business Address
MALLORY BOACKLE TASSEFF PT
7191 CAHABA VALLEY RD STE 102
HOOVER, AL 35242-6507
Phone number: 205-408-6600
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Mailing Address
MALLORY BOACKLE TASSEFF PT
1130 22ND ST S STE 1000
BIRMINGHAM, AL 35205-2881
Phone number: 205-408-6600
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