WANDA ILENE STEPHENS

COOKEVILLE, TN
NPI1063580975
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  2007)
Enumeration Date2006-11-30
Last Update Date2007-07-08
Business Address
Mrs. WANDA ILENE STEPHENS PTA
815 SOUTH WALNUT AVE
COOKEVILLE, TN 38501
Phone number: 931-646-7216
Mailing Address
Mrs. WANDA ILENE STEPHENS PTA
3122 DEERHAVEN DRIVE S
ALGOOD, TN 38506
Phone number: 931-537-2144
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