PETRA GODEFRIEDA MYSIEWICZ

JACKSON, TN
NPI1790304301
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  2244)
Enumeration Date2020-04-14
Last Update Date2020-04-14
Business Address
PETRA GODEFRIEDA MYSIEWICZ PT
1535 VANN DR
JACKSON, TN 38305-2095
Phone number: 731-984-9962
Mailing Address
PETRA GODEFRIEDA MYSIEWICZ PT
1535 VANN DR
JACKSON, TN 38305-2095
Phone number: 731-984-9962