Individual
MS. ANDREA MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2300 PAVILION DR, KINGSPORT, TN 37660-4622
(423) 480-7048
Mailing address
2300 PAVILION DR, KINGSPORT, TN 37660-4622
(423) 480-7048
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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