Individual
MS. TANDREA STANDBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2831 AIRWAYS BLVD, SUITE 102, MEMPHIS, TN 38132-1106
(901) 348-0200
Mailing address
2831 AIRWAYS BLVD, SUITE 102, MEMPHIS, TN 38132-1106
(901) 348-0200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6308
TN
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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