Individual
JACQUELINE VAULX-WOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1151 TAMMBELL ST, BROWNSVILLE, TN 38012-1615
(731) 772-7986
(731) 772-9395
Mailing address
1151 TAMMBELL ST, BROWNSVILLE, TN 38012-1615
(731) 772-7986
(731) 772-9395
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
745
TN
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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