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1881742096
TIFFANY CUPP
CONWAY, AR
NPI
1881742096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: AR PT2852)
Enumeration Date
2007-01-08
Last Update Date
2007-09-13
Business Address
-- TIFFANY CUPP DPT
2740 COLLEGE AVENUE
CONWAY, AR 72034-9310
Phone number: 501-329-5459
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Mailing Address
-- TIFFANY CUPP DPT
2505 GLADIOLA
CONWAY, AR 72034-8458
Phone number: 501-548-0926
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