Individual
TATYANA A BOLSHAKOVA-MCGEHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8516 TIMBER RUN CV, CORDOVA, TN 38018-7318
(901) 734-5270
Mailing address
8516 TIMBER RUN CV, CORDOVA, TN 38018-7318
(901) 734-5270
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000004387
TN
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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