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1588793004
PAIGE S PUCKETT
ROANOKE, VA
NPI
1588793004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306000530)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
PAIGE S PUCKETT L.P.T.A.
7226B WILLIAMSON RD
ROANOKE, VA 24019-4264
Phone number: 540-366-9244
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Mailing Address
PAIGE S PUCKETT L.P.T.A.
PO BOX 21604
ROANOKE, VA 24018-0162
Phone number: 540-725-5300
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