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1508905795
AMANDA COLETTE DIERKING
COLUMBIA, TN
NPI
1508905795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN PTA0000003969)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
Ms. AMANDA COLETTE DIERKING
1224 TROTWOOD AVE
COLUMBIA, TN 38401-4802
Phone number: 931-540-4302
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Mailing Address
Ms. AMANDA COLETTE DIERKING
11303 CROWNE BROOK CIR
FRANKLIN, TN 37067-1660
Phone number: 615-390-7754
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