Organization
FUNCTION JUNCTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY PATRICIA MCGEARY P.T. (PRESIDENT)
(931) 434-6865
Entity
Organization
Contact information
Practice address
2106 N JACKSON ST, TULLAHOMA, TN 37388-2208
(931) 434-6865
(931) 455-2045
Mailing address
2106 N JACKSON ST, TULLAHOMA, TN 37388-2208
(931) 434-6865
(931) 455-2045
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT0000007727
TN
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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