Individual
JENNIFER OGLESBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1493 MONASCO RD, MILLINGTON, TN 38053-0207
(901) 407-2192
Mailing address
1493 MONASCO RD, MILLINGTON, TN 38053-0207
(901) 407-2192
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5054
TN
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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