Individual
MRS. FATIMA L LAQUINDANUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2855 STAGE VILLAGE CV STE 1, BARTLETT, TN 38134-4616
(901) 828-1816
(901) 737-9097
Mailing address
2855 STAGE VILLAGE CV STE 1, BARTLETT, TN 38134-4616
(901) 828-1816
(901) 737-9097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 103140
MO
225100000X
Physical Therapist
Primary
PT 5144
TN
Other
Enumeration date
07/06/2006
Last updated
02/11/2021
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