CAROL MARIE HERON

CLARKSVILLE, TN
NPI1215077854
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  3253)
Enumeration Date2007-02-06
Last Update Date2007-07-08
Business Address
Mrs. CAROL MARIE HERON LPTA, CLT
1808 HAYNES ST
CLARKSVILLE, TN 37043-4547
Phone number: 931-906-4170
Mailing Address
Mrs. CAROL MARIE HERON LPTA, CLT
701 RAINSWOOD CT
CLARKSVILLE, TN 37043-1944
Phone number: 931-920-0089