Individual
MRS. CAROL MARIE HERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA, CLT
Contact information
Practice address
1808 HAYNES ST, CLARKSVILLE, TN 37043-4547
(931) 906-4170
(931) 906-4173
Mailing address
701 RAINSWOOD CT, CLARKSVILLE, TN 37043-1944
(931) 920-0089
(931) 906-4173
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3253
TN
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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