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1366199705
TIFFANY PORTER
BARTLETT, TN
NPI
1366199705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS 7260)
Enumeration Date
2022-03-06
Last Update Date
2022-03-06
Business Address
TIFFANY PORTER PTA
8059 STAGE HILLS BLVD STE 104
BARTLETT, TN 38133-4071
Phone number: 901-383-4515
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Mailing Address
TIFFANY PORTER PTA
7129 GOODMAN RIDGE DR
OLIVE BRANCH, MS 38654-4356
Phone number:
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