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1457698136
AMANDA HENNESSEY
BUTTE, MT
NPI
1457698136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MT PTP-PTA-LIC-2467)
Enumeration Date
2013-01-15
Last Update Date
2013-01-15
Business Address
-- AMANDA HENNESSEY
226 S EXCELSIOR AVE
BUTTE, MT 59701-1535
Phone number: 406-781-3129
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Mailing Address
-- AMANDA HENNESSEY
226 S EXCELSIOR AVE
BUTTE, MT 59701
Phone number: 406-781-3129
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