Individual
LINDA BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
120 CAVETT HILL LN, FARRAGUT, TN 37934-6673
(865) 777-4000
Mailing address
1145 CAROLINA DR, DANDRIDGE, TN 37725-4476
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5167
TN
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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