Individual
HEATHER ALIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3222 MOOREWOOD DR, NASHVILLE, TN 37207-2414
(781) 367-3825
Mailing address
21 DUNCKLEE AVE, STONEHAM, MA 02180-4501
(781) 367-3825
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
6179
TN
225200000X
Physical Therapy Assistant
Primary
9040
MA
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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