Individual
TABETHA JEANNE POLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 HUMPHREYS, SUITE 23, MEMPHIS, NE 38120
(901) 226-4522
Mailing address
10460 MONROE RD, LAKELAND, TN 38002-9708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6758
TN
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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