Individual
MRS. MELYNOR BERNABE MAVREDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1 SISKIN PLZ, CHATTANOOGA, TN 37403-1306
(423) 634-1547
(423) 634-1394
Mailing address
8824 PEBBLE CREEK RD, CHATTANOOGA, TN 37421-2844
(423) 855-0488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000002218
TN
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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