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1295047108
DAIDRA L PARRISH
AUSTELL, GA
NPI
1295047108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA1591)
Enumeration Date
2010-07-08
Last Update Date
2010-07-08
Business Address
-- DAIDRA L PARRISH PTA
1025 E WEST CONNECTOR STE 406
AUSTELL, GA 30106-8531
Phone number: 770-384-1001
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Mailing Address
-- DAIDRA L PARRISH PTA
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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