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1912378696
RACHEL CHASTAIN BROADWAY
ATHENS, AL
NPI
1912378696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA7595)
Enumeration Date
2015-10-07
Last Update Date
2015-10-07
Business Address
-- RACHEL CHASTAIN BROADWAY PTA
936 US HIGHWAY 72 E
ATHENS, AL 35611-4318
Phone number: 256-230-1252
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Mailing Address
-- RACHEL CHASTAIN BROADWAY PTA
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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