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MRS. MARLYS K PROCTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
200 HESTER RD, PORTLAND, TN 37148-4901
(615) 888-2088
Mailing address
200 HESTER RD, PORTLAND, TN 37148-4901
(615) 888-2088

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A00840
KY

Other

Enumeration date
06/28/2007
Last updated
07/08/2007
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