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1801185251
TRUDY MAE DAVIDSON
SPRINGDALE, AR
NPI
1801185251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA1659)
Enumeration Date
2011-04-06
Last Update Date
2011-04-06
Business Address
-- TRUDY MAE DAVIDSON PTA
3291 S THOMPSON ST STE C103
SPRINGDALE, AR 72764-7343
Phone number: 479-750-3535
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Mailing Address
-- TRUDY MAE DAVIDSON PTA
404 LAKE RD
SPRINGDALE, AR 72764-2508
Phone number: 479-750-3535
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