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1699286492
ANDREW THARALDSON
TAMPA, FL
NPI
1699286492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA27736)
Enumeration Date
2017-10-19
Last Update Date
2017-10-19
Business Address
ANDREW THARALDSON PTA
6117 GUNN HWY
TAMPA, FL 33625-4013
Phone number: 813-978-9700
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Mailing Address
ANDREW THARALDSON PTA
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0925
Phone number: 813-978-9700
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