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1497996342
ANDREA BERRY DECKARD
GLASGOW, KY
NPI
1497996342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A01140)
Enumeration Date
2009-03-23
Last Update Date
2009-03-23
Business Address
-- ANDREA BERRY DECKARD PTA
300 WESTWOOD ST
GLASGOW, KY 42141-1030
Phone number: 270-651-9131
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Mailing Address
-- ANDREA BERRY DECKARD PTA
703 NORTHWOOD DR
GLASGOW, KY 42141-8059
Phone number: 270-678-1843
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