Individual
ALICE CHESNEY LUALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
120 CAVETTE HILL LN, KNOXVILLE, TN 37934-6673
(865) 777-4000
Mailing address
7104 W ARBOR TRACE DR APT 306, KNOXVILLE, TN 37909-3054
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000004052
TN
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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