Individual
SCHANDA FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 DAVIS LN, LA FOLLETTE, TN 37766-3118
(423) 562-0760
Mailing address
829 W MOUNTCASTLE ST, JEFFERSON CITY, TN 37760-1829
(423) 277-6615
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4666
TN
Other
Enumeration date
09/17/2013
Last updated
09/18/2013
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