Individual
MITZI WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 JACKSON WALK PLZ, JACKSON, TN 38301-3008
(731) 421-6950
(731) 660-8739
Mailing address
101 JACKSON WALK PLZ, JACKSON, TN 38301-3008
(731) 421-6950
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4390
TN
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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