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1497001010
ANDREA LEIGH PORTER
CANTON, OH
NPI
1497001010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA-08525)
Enumeration Date
2012-08-01
Last Update Date
2012-08-05
Business Address
Miss ANDREA LEIGH PORTER PTA
4645 BELPAR ST NW
CANTON, OH 44718-3602
Phone number: 330-493-4210
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Mailing Address
Miss ANDREA LEIGH PORTER PTA
353 26TH ST SE
MASSILLON, OH 44646-5087
Phone number: 330-933-8968
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