Individual
MRS. MANDY ANISSA PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8040 WOLF RIVER BLVD, SUITE 102, GERMANTOWN, TN 38138-1773
(901) 522-6440
(901) 757-2507
Mailing address
8040 WOLF RIVER BLVD, SUITE 102, GERMANTOWN, TN 38138-1773
(901) 522-6440
(901) 757-2507
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3360
TN
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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