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1841020542
MADISON THOMAS
VAN BUREN, AR
NPI
1841020542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 3811)
Enumeration Date
2024-08-06
Last Update Date
2024-08-06
Business Address
MADISON THOMAS PTA
115 POINTER TRL W
VAN BUREN, AR 72956-2236
Phone number: 479-471-1290
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Mailing Address
MADISON THOMAS PTA
115 POINTER TRL W
VAN BUREN, AR 72956-2236
Phone number: 479-471-1290
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