Individual
JULIANNA PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6536
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6536
PHYSICAL THERAPIST ASSISTANT LICENSE
TN
Enumeration date
06/21/2017
Last updated
06/21/2017
Update your record
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