Individual
MRS. ANGELA MICHELLE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
580 TENNESSEE AVE N, PARSONS, TN 38363-2624
(731) 847-9228
Mailing address
287 NEW HOPE RD, DECATURVILLE, TN 38329-5629
(731) 549-0922
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4186
TN
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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