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1962587162
PHYLLIS A WARDLOW
JACKSON, TN
NPI
1962587162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 0849)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
Ms. PHYLLIS A WARDLOW pta
121 PHYSICIANS DR
JACKSON, TN 38305-6011
Phone number: 731-664-5050
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Mailing Address
Ms. PHYLLIS A WARDLOW pta
148 HENDERSON RD
JACKSON, TN 38305-5913
Phone number: 731-424-1291
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