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1568896090
CASEY CARLSON
WEST MEMPHIS, AR
NPI
1568896090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 2743)
Enumeration Date
2013-09-03
Last Update Date
2013-09-03
Business Address
CASEY CARLSON PTA
200 W BROADWAY ST
WEST MEMPHIS, AR 72301-3904
Phone number: 870-394-7000
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Mailing Address
CASEY CARLSON PTA
200 W BROADWAY ST
WEST MEMPHIS, AR 72301-3904
Phone number: 870-394-7000
Copy
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