Individual
BETHANIE LASHEA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
262 CHEROKEE PROFESSIONAL PARK, MARYVILLE, TN 37804-5153
(865) 980-0030
Mailing address
177 PARK AVE, MADISONVILLE, TN 37354-5206
(423) 836-7548
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
TN
Other
Enumeration date
05/12/2019
Last updated
05/12/2019
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