Individual
REBECCA DIANE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 S WALNUT AVE, COOKEVILLE, TN 38501-5956
(931) 528-5516
Mailing address
903 BIG BOTTOM RD, GAINESBORO, TN 38562-6087
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8427
TN
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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