Individual
MRS. TERESA ANNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
5152 NORICH AVE, MEMPHIS, TN 38117-2847
(901) 523-8990
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3114
TN
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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