Individual
REGINALD EUGENE MINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4113 GARDEN BIRCH CV, MEMPHIS, TN 38115-6603
(901) 600-4306
Mailing address
4113 GARDEN BIRCH CV, MEMPHIS, TN 38115-6603
(901) 600-4306
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4622
TN
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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