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Individual

MRS. BENNIE SUE ROESEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
615 DERBY ST, CHATTANOOGA, TN 37404-1632
(423) 629-1451
(423) 493-2959
Mailing address
533 BLUEBERRY HILLS RD NE, CLEVELAND, TN 37312-5106
(423) 595-4136

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000000166
TN

Other

Enumeration date
09/17/2009
Last updated
09/17/2009
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