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1447676481
EILEEN STIDHAM
ORANGE, CA
NPI
1447676481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA AT-5906)
Enumeration Date
2014-03-14
Last Update Date
2014-03-14
Business Address
-- EILEEN STIDHAM P.T.A.
1111 W TOWN AND COUNTRY RD STE 1
ORANGE, CA 92868-4635
Phone number: 714-997-5518
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Mailing Address
-- EILEEN STIDHAM P.T.A.
47 GOLDBRIAR WAY
MISSION VIEJO, CA 92692-5986
Phone number: 949-285-3195
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