Individual
KATHY GRAVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 JORDAN GLEN LN, SAVANNAH, TN 38372-7348
(731) 438-7850
Mailing address
80 JORDAN GLEN LN, SAVANNAH, TN 38372-7348
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3120
TN
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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