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1578012175
PATRICK THIBODEAU
TULSA, OK
NPI
1578012175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT31656)
Enumeration Date
2016-09-25
Last Update Date
2016-09-25
Business Address
-- PATRICK THIBODEAU
1414 S DENVER AVE
TULSA, OK 74119-3423
Phone number: 918-949-9871
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Mailing Address
-- PATRICK THIBODEAU
6940 SEA CORAL DR APT 200
ORLANDO, FL 32821-8044
Phone number: 207-944-7065
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