Individual
MRS. MARILYNN MARIE SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
993 E COLLEGE STREET, PULASKI, TN 38478
(931) 363-3572
(931) 363-5001
Mailing address
54 REBECCA RD, LORETTO, TN 38469
(931) 853-6838
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3440
TN
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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