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1700368040
TIFFANY VILLA
ATLANTA, GA
NPI
1700368040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA004065)
Enumeration Date
2018-09-04
Last Update Date
2018-09-04
Business Address
TIFFANY VILLA PTA
3088 LENOX RD NE
ATLANTA, GA 30324-2894
Phone number: 404-816-3991
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Mailing Address
TIFFANY VILLA PTA
3088 LENOX RD NE
ATLANTA, GA 30324-2894
Phone number:
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