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1730545823
TUCKER WILLI COLE
MADISONVILLE, TN
NPI
1730545823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 6126)
Enumeration Date
2016-01-06
Last Update Date
2016-01-06
Business Address
TUCKER WILLI COLE PTA
4249 HIGHWAY 411 STE 4
MADISONVILLE, TN 37354-1544
Phone number: 423-436-0309
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Mailing Address
TUCKER WILLI COLE PTA
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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