Individual
MARIE THERESE VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
190 OLD ORCHARD SQ, EAST ELLIJAY, GA 30540-8172
(706) 273-3131
(706) 273-3133
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 362-8684
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003184
GA
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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