Individual
CHARLENE PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
800 VOLUNTEER DR, PARIS, TN 38242-5472
(731) 642-2535
Mailing address
673 BAKER RD, APT E2, MARTIN, TN 38237-4532
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000005284
TN
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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