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1942665781
MICHELLE GRADY
SIOUX CITY, IA
NPI
1942665781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 00715)
Enumeration Date
2015-12-21
Last Update Date
2015-12-22
Business Address
-- MICHELLE GRADY PTA
1701 W 25TH ST
SIOUX CITY, IA 51103-1705
Phone number: 712-252-2726
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Mailing Address
-- MICHELLE GRADY PTA
1701 W 25TH ST
SIOUX CITY, IA 51103-1705
Phone number: 712-252-2726
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