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1700045507
PAMELA TISDALE
GREENSBORO, NC
NPI
1700045507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC 2487)
Enumeration Date
2008-06-06
Last Update Date
2008-06-06
Business Address
PAMELA TISDALE LPTA
5901 CHIPMUNK DR
GREENSBORO, NC 27407-9735
Phone number: 336-454-0789
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Mailing Address
PAMELA TISDALE LPTA
5901 CHIPMUNK DR
GREENSBORO, NC 27407-9735
Phone number: 336-454-0789
Copy
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