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1700084043
JAINA MARIE THATCH
PHILADELPHIA, PA
NPI
1700084043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA Pt015755)
Enumeration Date
2007-07-09
Last Update Date
2014-08-04
Business Address
Dr. JAINA MARIE THATCH DPT
1800 LOMBARD ST
PHILADELPHIA, PA 19146-1414
Phone number: 123-456-7890
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Mailing Address
Dr. JAINA MARIE THATCH DPT
27 LA COSTA DR
BLACKWOOD, NJ 08012-5533
Phone number:
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