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1700512035
TIM KING
VAN BUREN, AR
NPI
1700512035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4779)
Enumeration Date
2022-07-28
Last Update Date
2022-07-28
Business Address
TIM KING PTA
115 POINTER TRL W
VAN BUREN, AR 72956-2236
Phone number: 479-471-1290
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Mailing Address
TIM KING PTA
115 POINTER TRL W
VAN BUREN, AR 72956-2236
Phone number: 479-471-1290
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