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Individual

MISS DANA MASIC II

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
149 LYNDA DR, CHATTANOOGA, TN 37405-1329
(423) 505-2834
Mailing address
149 LYNDA DR, CHATTANOOGA, TN 37405-1329

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4803
TN

Other

Enumeration date
10/17/2014
Last updated
10/17/2014
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