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1952960056
KYLE SMITH
ATLANTA, GA
NPI
1952960056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2019-06-12
Last Update Date
2019-06-12
Business Address
KYLE SMITH PTA
1500 S JOHNSON FERRY RD
ATLANTA, GA 30319-1612
Phone number: 404-252-2002
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Mailing Address
KYLE SMITH PTA
922 WOODLAND TRL SE
SMYRNA, GA 30080-1536
Phone number:
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