Individual
MISS DAWN MICHELLE STINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
923 S BROADWAY ST, PORTLAND, TN 37148-1691
(615) 323-7575
(615) 323-0677
Mailing address
1679 HIGHWAY 259, PORTLAND, TN 37148-4427
(615) 202-3815
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4361
TN
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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