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1972992147
THADDEUS BOWERSOCK
NORTH CANTON, OH
NPI
1972992147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA.09839)
Enumeration Date
2015-01-12
Last Update Date
2015-01-12
Business Address
-- THADDEUS BOWERSOCK LPTA
339 E MAPLE ST
NORTH CANTON, OH 44720-2593
Phone number: 330-498-8200
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Mailing Address
-- THADDEUS BOWERSOCK LPTA
339 E MAPLE ST
NORTH CANTON, OH 44720-2593
Phone number:
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