Individual
MRS. ANDREA ROSE HEROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2745 EXECUTIVE PARK NW, CLEVELAND, TN 37312-2723
(423) 584-1575
Mailing address
4339 KATIE KIM LN, OOLTEWAH, TN 37363-8454
(423) 584-1575
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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