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1467671651
TODD DIEFENDERFER
ENTERPRISE, AL
NPI
1467671651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA3762)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
-- TODD DIEFENDERFER PTA
404 N MAIN ST
ENTERPRISE, AL 36330-2563
Phone number: 334-308-9797
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Mailing Address
-- TODD DIEFENDERFER PTA
PO BOX 729
DOTHAN, AL 36302-0729
Phone number: 334-793-2663
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