Individual
MRS. PAULINE HENDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(615) 386-4900
Mailing address
360 HARMON LN, LAKE CITY, TN 37769-5335
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3874658
TN
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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