Individual
ANGELA PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5244
(931) 552-3002
(931) 647-8246
Mailing address
1689 HERITAGE DR, CLARKSVILLE, TN 37043-8224
(618) 638-8317
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8671
TN
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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