Individual
RENEE LAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 BURTON HILLS BLVD, NASHVILLE, TN 37215-6156
(615) 665-3748
Mailing address
3321 GOLF CLUB LN, NASHVILLE, TN 37215-1577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9547
TN
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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