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1285992206
ADAM DANIEL HIGGINBOTHAM
ATLANTA, GA
NPI
1285992206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA002498)
Enumeration Date
2012-04-27
Last Update Date
2012-04-27
Business Address
-- ADAM DANIEL HIGGINBOTHAM PTA
791 OAK STREET
ATLANTA, GA 30354
Phone number: 678-539-5803
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Mailing Address
-- ADAM DANIEL HIGGINBOTHAM PTA
791 OAK STREET
ATLANTA, GA 30354
Phone number: 678-539-5803
Copy
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