Individual
MATHERESA MAGALONG NUCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
175 HOSPITAL DR, MC KENZIE, TN 38201-1636
(731) 352-3908
Mailing address
1820 MULBERRY CV, PARIS, TN 38242-5535
(731) 642-3317
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3937
TN
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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