Individual
GLINDA WELCH SOSSAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
54 S PRESCOTT ST, MEMPHIS, TN 38111-4619
(901) 257-3422
(901) 257-3423
Mailing address
3947 LIGHT HOUSE LN, LAKELAND, TN 38002-8165
(901) 257-3422
(901) 257-3423
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA0000000301
TN
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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