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1962732743
SAMANTHA D WOOTEN
TEXARKANA, TX
NPI
1962732743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2069890)
Enumeration Date
2009-12-30
Last Update Date
2009-12-30
Business Address
MS. SAMANTHA D WOOTEN PTA
3410 MAGNOLIA ST
TEXARKANA, TX 75503-3729
Phone number: 903-278-7904
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Mailing Address
MS. SAMANTHA D WOOTEN PTA
3410 MAGNOLIA ST
TEXARKANA, TX 75503-3729
Phone number: 903-278-7904
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