Individual
MRS. MARY KATHERINE POGLITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
895 POWERS BLVD, WAVERLY, TN 37185-1018
(931) 296-7552
Mailing address
8330 HIGHWAY 641 N, CAMDEN, TN 38320-6163
(731) 584-9697
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3371
TN
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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