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1861969230
IVAN TIO
DALLAS, TX
NPI
1861969230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2141029)
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
IVAN TIO PTA
14655 PRESTON RD
DALLAS, TX 75254-7805
Phone number: 972-726-7575
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Mailing Address
IVAN TIO PTA
14655 PRESTON RD
DALLAS, TX 75254-7805
Phone number: 972-726-7575
Copy
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