Individual
GWENDOLYN R MCCHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3400 LEBANON RD, MURFREESBORO, TN 37129-1392
(931) 205-2813
Mailing address
3400 LEBANON RD, MURFREESBORO, TN 37129-1392
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4743
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4743
PTA LICENSE
TN
Enumeration date
05/09/2019
Last updated
05/09/2019
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