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1528450780
KELLY DANIEL
CLARKSVILLE, TN
NPI
1528450780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 5462)
Enumeration Date
2015-02-25
Last Update Date
2015-02-25
Business Address
KELLY DANIEL PTA
900 PROFESSIONAL PARK DR
CLARKSVILLE, TN 37040-5244
Phone number: 931-552-3002
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Mailing Address
KELLY DANIEL PTA
1467 AMY AVE
CLARKSVILLE, TN 37042-7034
Phone number: 931-237-6478
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