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Individual

CAROL J. WYATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
726 KENTUCKY AVE S, PARSONS, TN 38363-3105
(731) 847-6371
Mailing address
6189 HIGHWAY 69 S, BATH SPRINGS, TN 38311-4473
(731) 549-9852

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2150
TN

Other

Enumeration date
10/27/2006
Last updated
07/08/2007
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