Individual
MRS. SELINA CAROL PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4990
TN
225700000X
Massage Therapist
6801
TN
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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