Individual
MARY ALLIOT-STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
811 KEYLON ST, MANCHESTER, TN 37355-2413
(931) 580-5997
(855) 232-8404
Mailing address
811 KEYLON ST, MANCHESTER, TN 37355-2413
(931) 580-5997
(855) 232-8404
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0941
TN
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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