Individual
MARISA HAKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
914 INDUSTRIAL PARK RD, DANDRIDGE, TN 37725-4700
(865) 397-3163
Mailing address
3728 HARDWOOD RD APT 1, KODAK, TN 37764-1494
(865) 606-5723
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7410
TN
Other
Enumeration date
03/06/2024
Last updated
03/12/2024
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