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Individual

MRS. ANITA MARIE WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1215 21ST AVENUE SOUTH, MCE SOUTH TOWER, SUITE 3312, NASHVILLE, TN 37232-0001
(615) 343-6354
Mailing address
126 CALDWELL DR, HENDERSONVILLE, TN 37075-2004
(615) 824-4968

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000004170
TN

Other

Enumeration date
10/23/2007
Last updated
10/23/2007
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