Individual
TERA CHEA DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
360 DELL TRL, DUNLAP, TN 37327-5511
(423) 949-4651
Mailing address
195 POPPY LN, DUNLAP, TN 37327-1758
(423) 693-5088
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6577
TN
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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