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1407570856
POOYA MOTAGHEDI
SOUTHLAKE, TX
NPI
1407570856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1171253)
Enumeration Date
2022-09-29
Last Update Date
2022-09-29
Business Address
POOYA MOTAGHEDI
180 STATE ST STE 225
SOUTHLAKE, TX 76092-7632
Phone number: 866-839-6979
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Mailing Address
POOYA MOTAGHEDI
180 STATE ST STE 225
SOUTHLAKE, TX 76092-7632
Phone number:
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