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1609123538
AMANDA BALLARD GRAY
BIRMINGHAM, AL
NPI
1609123538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA6295)
Enumeration Date
2012-08-09
Last Update Date
2016-02-04
Business Address
-- AMANDA BALLARD GRAY LPTA
4704 CAHABA RIVER RD STE J2
BIRMINGHAM, AL 35243-2344
Phone number: 205-298-8711
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Mailing Address
-- AMANDA BALLARD GRAY LPTA
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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