Individual
TANYA MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7545 AIRWAYS BLVD, SOUTHAVEN, MS 38671-5806
(901) 759-3208
Mailing address
7545 AIRWAYS BLVD, SOUTHAVEN, MS 38671-5806
(901) 759-3208
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
3846
MS
2251X0800X
Orthopedic Physical Therapist
6102
TN
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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