MARY KATHLEEN GRAVATT

MARYVILLE, TN
NPI1669964672
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  5424)
Enumeration Date2018-06-05
Last Update Date2018-06-05
Business Address
MARY KATHLEEN GRAVATT PTA
1750 LINDA LN
MARYVILLE, TN 37803
Phone number: 865-200-3093
Mailing Address
MARY KATHLEEN GRAVATT PTA
1750 LINDA LN
MARYVILLE, TN 37803-5536
Phone number: 865-200-3093