Individual
CHRISTINA MARIE PORTWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1202 N CHARLES G SEIVERS BLVD STE A, CLINTON, TN 37716-3936
(865) 457-0192
(865) 457-2284
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4832
TN
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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