Individual
TAMMY ELIZABETH MCDOUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
370 OLD SHACKLE ISLAND, HENDERSONVILLE, TN 37075
(615) 824-0720
(615) 824-0272
Mailing address
413 BROOKRIDGE DR, GALLATIN, TN 37066
(615) 230-8056
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000002505
TN
Other
Enumeration date
10/28/2006
Last updated
07/08/2007
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