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1922458777
CHAD OWENS
PORT ORANGE, FL
NPI
1922458777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA24959)
Enumeration Date
2016-06-13
Last Update Date
2016-06-13
Business Address
-- CHAD OWENS PTA
941 VILLAGE TRL
PORT ORANGE, FL 32127-9353
Phone number: 386-872-7511
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Mailing Address
-- CHAD OWENS PTA
PO BOX 1975
ROME, GA 30162-1975
Phone number: 386-872-7511
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