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1295916096
THERESA L HYATT
PORT ORANGE, FL
NPI
1295916096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA 19577)
Enumeration Date
2007-11-20
Last Update Date
2007-11-20
Business Address
-- THERESA L HYATT PTA
1675 DUNLAWTON AVE
PORT ORANGE, FL 32127-4755
Phone number: 386-761-1055
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Mailing Address
-- THERESA L HYATT PTA
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number:
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