Individual
MRS. ELLEN DEDMON MCCADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 GREYSTONE SQ, JACKSON, TN 38305-3580
(731) 512-0302
(731) 512-0319
Mailing address
1000 GREYSTONE SQ, JACKSON, TN 38305-3580
(731) 512-0302
(731) 512-0319
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4190
TN
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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