Individual
MACIE SUZANNE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BRIARCLIFF AVE, OAK RIDGE, TN 37830-8731
(865) 481-6009
Mailing address
10818 VALLEY CROSSING WAY APT 201, KNOXVILLE, TN 37932-1876
(865) 659-1338
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8100
TN
Other
Enumeration date
08/14/2022
Last updated
08/14/2022
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