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1750961355
AMANDA DICKERSON
FAYETTEVILLE, AR
NPI
1750961355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4486)
Enumeration Date
2021-04-09
Last Update Date
2021-04-09
Business Address
AMANDA DICKERSON PTA
2474 E JOYCE BLVD STE 2
FAYETTEVILLE, AR 72703-4932
Phone number: 479-521-8326
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Mailing Address
AMANDA DICKERSON PTA
2474 E JOYCE BLVD STE 2
FAYETTEVILLE, AR 72703-4932
Phone number: 479-521-8326
Copy
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