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ASHLEY PAGE SOUTHERLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
132 NEWPORT TOWNE CTR, NEWPORT, TN 37821-7360
(423) 623-2890
(423) 623-2924
Mailing address
1409 GENEVA CIR, MORRISTOWN, TN 37813-4780
(423) 202-0574
(423) 623-2924

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4759
TN

Other

Enumeration date
06/21/2010
Last updated
06/21/2010
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