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1487012332
ANTHONY REDD
ROANOKE, VA
NPI
1487012332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306604123)
Enumeration Date
2016-02-08
Last Update Date
2016-02-08
Business Address
ANTHONY REDD PTA
4920 WOODMAR DR SW
ROANOKE, VA 24018-1651
Phone number: 866-450-4522
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Mailing Address
ANTHONY REDD PTA
PO BOX 794
FIELDALE, VA 24089-0794
Phone number: 276-806-0580
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