Individual
SUSAN EVANS ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
600 JEFFERSON AVE, MEMPHIS, TN 38105-4934
(901) 287-4900
(901) 287-4901
Mailing address
375 S B B KING BLVD, MEMPHIS, TN 38126-2519
(901) 870-4439
(901) 287-4901
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5
TN
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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