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1811255771
JOSHUA DIERDORFF
HUNTINGTON, WV
NPI
1811255771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WV 1701)
Enumeration Date
2012-04-30
Last Update Date
2012-04-30
Business Address
-- JOSHUA DIERDORFF PTA
2240 5TH AVE
HUNTINGTON, WV 25703-1290
Phone number: 304-525-4445
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Mailing Address
-- JOSHUA DIERDORFF PTA
2240 5TH AVE
HUNTINGTON, WV 25703-1290
Phone number: 304-525-4445
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