Individual
CHARITY FAITH CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1975 W ELK AVE, SUITE #1, ELIZABETHTON, TN 37643-3787
(423) 543-0073
Mailing address
1975 W ELK AVE, SUITE #1, ELIZABETHTON, TN 37643-3787
(423) 543-0073
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5408
TN
Other
Enumeration date
12/10/2015
Last updated
07/15/2016
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