Individual
MARY REBECCA MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
103 W STONE DR, KINGSPORT, TN 37660-3220
(423) 224-5751
Mailing address
2212 PENDRAGON RD, KINGSPORT, TN 37660-2935
(423) 245-8464
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5115
TN
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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