Individual
MARY ELAINE BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
480 NEW BUSHY BRANCH RD, MANCHESTER, TN 37355-5805
(931) 841-5695
Mailing address
480 NEW BUSHY BRANCH RD, MANCHESTER, TN 37355-5805
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
TN
Other
Enumeration date
11/19/2024
Last updated
11/27/2024
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