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1538831599
AMANDA ELIZABETH TYSON BROADWATER
ATLANTA, GA
NPI
1538831599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT003732)
Enumeration Date
2021-09-29
Last Update Date
2024-03-22
Business Address
AMANDA ELIZABETH TYSON BROADWATER
3500 LENOX RD NE STE 1500
ATLANTA, GA 30326-4231
Phone number: 877-407-3422
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Mailing Address
AMANDA ELIZABETH TYSON BROADWATER
7 CARNEGIE PLZ
CHERRY HILL, NJ 08003-1000
Phone number: 877-407-3422
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