Individual
MR. ANDREW DALE WOFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2735 HIGHWAY 64 STE 107, EADS, TN 38028-3333
(901) 581-4539
Mailing address
2735 HIGHWAY 64 STE 107, EADS, TN 38028-3333
(901) 581-4539
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5568
TN
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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