Individual
MAJA CORNE VANECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT,COMT,OCS
Contact information
Practice address
8066 WALNUT RUN RD, SUITE 200, CORDOVA, TN 38018-8841
(901) 757-1200
(901) 756-7010
Mailing address
PO BOX 3515, CORDOVA, TN 38088-3515
(901) 757-1200
(901) 756-7010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT2079
AR
225100000X
Physical Therapist
Primary
PT5383
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4123418
BCBS PROVIDER NUMBER
TN
Enumeration date
10/02/2006
Last updated
07/08/2007
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