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1992469977
ANITA MARIA THREAT
MARIETTA, GA
NPI
1992469977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA004656)
Enumeration Date
2021-10-26
Last Update Date
2021-10-26
Business Address
Mrs. ANITA MARIA THREAT LPTA
100 WHITLOCK AVE NW
MARIETTA, GA 30064-2362
Phone number: 770-691-1903
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Mailing Address
Mrs. ANITA MARIA THREAT LPTA
8547 W APPLETON AVE
MILWAUKEE, WI 53225-4226
Phone number: 414-698-7823
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