Individual
VICKIE HAGUEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8172 RAVENHILL DR, GERMANTOWN, TN 38138-2408
(901) 361-3233
Mailing address
8172 RAVENHILL DR, GERMANTOWN, TN 38138-2408
(901) 361-3233
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5818
TN
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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