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1578169793
THADDEUS MICHAEL DODGE
PHOENIX, AZ
NPI
1578169793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2020-12-11
Last Update Date
2020-12-11
Business Address
THADDEUS MICHAEL DODGE
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
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Mailing Address
THADDEUS MICHAEL DODGE
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
Copy
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