Individual
MRS. MANDY NICOLE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1420 TUSCULUM BLVD., GREENEVILLE, TN 37745
(423) 787-5063
(423) 787-5017
Mailing address
1420 TUSCULUM BLVD., GREENEVILLE, TN 37745
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3634
TN
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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