Individual
CESSALEY LEANNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 JV MANGUBAT DR, WAYNESBORO, TN 38485-2439
(931) 722-3641
Mailing address
1302 TIE CAMP RD, WAYNESBORO, TN 38485-2860
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5401
TN
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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