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Victoria Ann Coughlin

Physical Therapy Assistant in Maryville, TN. Individual provider (NPI-1).

NPI number1467916189
StatusActive
Last updated in NPPESJan 27, 2019

Details

NPI
1467916189
Entity type
Individual (NPI-1)
Name
Mrs. Victoria Ann Coughlin
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 27, 2019
Last updated
Jan 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant––Yes

Practice location

2320 E Lamar Alexander Pkwy
Maryville, TN 37804-5316

Phone 865-273-8323

Mailing address

1043 Bartlett Dr
Jefferson City, TN 37760-3861

Phone 865-603-4772

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