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1598115099
KYLE ANDERSON
WAUWATOSA, WI
NPI
1598115099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2016-06-15
Last Update Date
2016-06-15
Business Address
-- KYLE ANDERSON PTA
6810 W STATE ST
WAUWATOSA, WI 53213-2807
Phone number: 414-259-0623
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Mailing Address
-- KYLE ANDERSON PTA
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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