Individual
MARIA ELIZABETH REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2648 SEVIERVILLE RD, MARYVILLE, TN 37804-3643
(865) 738-2807
Mailing address
10133 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3347
(865) 392-2838
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4939
TN
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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