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1922841832
ADAM WADE BURCH
SOUTHAVEN, MS
NPI
1922841832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 5734)
Enumeration Date
2024-06-18
Last Update Date
2024-06-18
Business Address
ADAM WADE BURCH PTA
7900 AIRWAYS BLVD
SOUTHAVEN, MS 38671-4113
Phone number: 662-807-4199
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Mailing Address
ADAM WADE BURCH PTA
1839 MADISON AVE
MEMPHIS, TN 38104-2786
Phone number: 901-202-0735
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