Judy Delores Latendresse PTA

NPI 1306901590 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1306901590
Gender Female
Enumeration Date 12/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
300 LABORATORY RD
OAK RIDGE TN, 37830-6911, US
Phone (865) 482-7698
Fax
Business Location
936 VENICE RD
KNOXVILLE TN, 37923-2099, US
Phone (865) 531-8585
Fax
Toxanomy
Taxonomy Code 225200000X
License State Tennessee
License Number 2762
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According to our database, Ms. Judy Delores Latendresse PTA NPI is 1306901590, taxonomy code is 225200000X and license number is 2762, license state is located at Tennessee. Judy Delores Latendresse PTA physically located at 300 Laboratory Rd, Oak Ridge TN, 37830-6911. NPI Number Judy Delores Latendresse PTA has the Individual type.

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1306901590 NPI number is provided on an as is basis without warranty of any kind. 1306901590 is maintained by the National Plan & Provider Enumeration System. The contents of Judy Delores Latendresse PTA are for informational purposes only.