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1952827594
LISA RENEE WEST
COOKEVILLE, TN
NPI
1952827594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN PTA0000000442)
Enumeration Date
2017-08-15
Last Update Date
2022-07-21
Business Address
LISA RENEE WEST PTA
201 N OAK AVE
COOKEVILLE, TN 38501-2437
Phone number: 931-528-2128
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Mailing Address
LISA RENEE WEST PTA
201 N OAK AVE
COOKEVILLE, TN 38501-2437
Phone number: 931-528-2128
Copy
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