EDWENA CHENELLE CLARK

SMYRNA, TN
NPI1497316541
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  3098)
Enumeration Date2019-06-27
Last Update Date2019-06-27
Business Address
EDWENA CHENELLE CLARK PTA
200 MAYFIELD DR
SMYRNA, TN 37167-3019
Phone number: 615-355-0350
Mailing Address
EDWENA CHENELLE CLARK PTA
200 MAYFIELD DR
SMYRNA, TN 37167-3019
Phone number: 615-355-0350
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